NPIMap

Organization Active NPI

Bing Wan, DMD, PLLC

  • Endodontics
  • Marysville, WA
National Provider Identifier
1669718623
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DE60290402 Issued in WA
Legal business name
BING WAN, DMD, PLLC
Practice address
1513 10TH St
Marysville, WA 98270-4629
Phone
(360) 659-2577
Fax
(360) 653-1700
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Dr. Bing Chiang Wan, DMD
Title
Owner, Endodontist
Phone
(360) 659-2577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DE60290402 WA Primary

Addresses

Primary practice location

1513 10TH St
Marysville, WA 98270-4629

Mailing address

1513 10TH St
Marysville, WA 98270-4629
Phone (360) 659-2577

Other names 1

  • Marysville Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1513 10th St
Marysville, WA 98270
Phone (360) 659-2577

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1669718623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 10TH ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704629",
            "telephone_number": "360-659-2577",
            "fax_number": "360-653-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 10TH ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704629",
            "telephone_number": "360-659-2577",
            "fax_number": "360-653-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BING WAN, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "BING",
        "authorized_official_middle_name": "CHIANG",
        "authorized_official_title_or_position": "OWNER, ENDODONTIST",
        "authorized_official_telephone_number": "360-659-2577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60290402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marysville Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.