Andrew C. Wang DDS

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

033168 Issued in CA

Legal business name

ANDREW C. WANG DDS

Practice address

905 Secret River Dr
Suite B
Sacramento, CA 95831-3437

Phone

(916) 427-8918

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew C Wang, DDSNPI 1407905250

Title

Owner

Phone

(916) 427-8918

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew C Wang, DDS

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1407905250
  NPD (past) Authorized official

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1679764278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SECRET RIVER DR",
            "address_2": "SUITE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313437",
            "telephone_number": "916-427-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SECRET RIVER DR",
            "address_2": "SUITE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313437",
            "telephone_number": "916-427-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW C. WANG DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-427-8918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "033168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL LICENSE",
            "identifier": "033168",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian S. Andres, PSY.D.
• Juan Campa Andres
• Julie Andres, OTD, OTR/L
• Oscar M Andres, M.D.
• Andrew C. Chen, DDS, Inc.
• Andrew J Linn MD
• Alexandrea Andrews
• Bailee Andrews
• Barbara J Andrews, M.S., MFT
• Brianay Andrews

• Point of Service in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.