Tien Chun D. Wang D.M.D., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35179 Issued in CA

Legal business name

TIEN CHUN D. WANG D.M.D., INC

Practice address

1309 N Grand Ave
Walnut, CA 91789-1317

Phone

(909) 594-7899

Fax

(909) 839-1168

NPI assigned

Aug 7, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Tien Chun D. WangNPI 1033232822

Title

Doctor

Phone

(909) 594-7899

Specialties & licenses 1

Addresses

Other names 1

• Tien Chun D. Wang D.M.D., Inc Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tien Chun D. Wang, DDS

  • General Practice Dentistry
  • Walnut, CA
  • NPI 1033232822
  NPD (past) Authorized official
• Mark D Wang

  • General Practice Dentistry
  • Walnut, CA
  • NPI 1174193288
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1659850071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 N GRAND AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891317",
            "telephone_number": "909-594-7899",
            "fax_number": "909-839-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N GRAND AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891317",
            "telephone_number": "909-594-7899",
            "fax_number": "909-839-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIEN CHUN D. WANG D.M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "TIEN CHUN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "909-594-7899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tien Chun D. Wang D.M.D., Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Walnut, CA
• Providers in Walnut, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.