Active NPI
Nai-Huei Wang, D.D.S.
- Prosthodontics
- Santa Monica, CA
National Provider Identifier
1649302068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 33401
- Practice address
- 1260 15TH St Ste 1002
Santa Monica, CA 90404-1145 - Phone
- (310) 394-1289
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 23, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 33401 | CA | Primary |
Addresses
Primary practice location
1260 15TH St Ste 1002
Santa Monica, CA 90404-1145
Mailing address
1260 15TH St Ste 1002
Santa Monica, CA 90404-1145
Phone (310) 394-1289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33401 | CA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1649302068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 15TH ST STE 1002",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041145",
"telephone_number": "310-394-1289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 15TH ST STE 1002",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041145",
"telephone_number": "310-394-1289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "NAI-HUEI",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "33401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.