Individual provider Active NPI

Weimin Wang, DDS

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1649919606
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS043728 Issued in PA
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

Updated by the provider on Jun 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DS043728PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dental, LLC General Practice Past Accepting new patients
Elite Dental LLC General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.