Active NPI
Weimin Wang, DDS
- General Practice Dentistry
- Philadelphia, PA
National Provider Identifier
1649919606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS043728
- Practice address
- 2459 Aramingo Ave
Philadelphia, PA 19125-3731 - Phone
- (215) 427-2800
- NPI assigned
- May 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DS043728 | PA | Primary |
Addresses
Primary practice location
2459 Aramingo Ave
Philadelphia, PA 19125-3731
Mailing address
3739 Warren St FL 1
Jackson Heights, NY 11372-8030
Phone (646) 462-5591
Other practice location 1
5597 Tulip St Ste B4
Philadelphia, PA 19124-1562
Phone (215) 288-8008
Other practice location 2
1575 N 52nd St Ste 705
Philadelphia, PA 19131-4729
Phone (215) 879-1777
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 |
|---|---|---|---|
| DS043728 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Dental, LLC | General Practice | Past | Accepting new patients |
| Elite Dental LLC | General Practice | Past | Accepting new patients |
Interoperability endpoints
- weimin.wangdds.p1@direct.gpha.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1033614136
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1255619920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1649919606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3739 WARREN ST FL 1",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113728030",
"telephone_number": "646-462-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2459 ARAMINGO AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253731",
"telephone_number": "215-427-2800"
}
],
"practiceLocations": [
{
"address_1": "5597 Tulip St Ste B4",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191241562",
"country_code": "US",
"telephone_number": "215-288-8008",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1575 N 52nd St Ste 705",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191314729",
"country_code": "US",
"telephone_number": "215-879-1777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "WEIMIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-28",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS043728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.