Individual provider Active NPI

Wenjian Zhang, DDS, PH.D

  • Oral and Maxillofacial Radiology Dentistry
  • Houston, TX
National Provider Identifier
1679797997
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
License
F-23191 Issued in TX
Practice address
6516 M.D. Anderson Blvd.
RM. 1.076
Houston, TX 77030
Phone
(713) 500-4154
Fax
(713) 500-0412
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology Dentistry 1223X0008X F-23191 TX Primary

Addresses

Primary practice location

6516 M.D. Anderson Blvd.
RM. 1.076
Houston, TX 77030

Mailing address

6516 M.D. Anderson Blvd.
RM. 1.076
Houston, TX 77030
Phone (713) 500-4154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200715000764 NC Practitioner - Dentist 1254754815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
F-23191TXMDOral and Maxillofacial Radiology Dentist
12491NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Jun 15, 2020 Accepting new patients
East Carolina University Current Accepting new patients
East Carolina University CurrentSince Jun 15, 2020 Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Organizations & group practices 3

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679797997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 M.D. ANDERSON BLVD.",
            "address_2": "RM. 1.076",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-500-4154",
            "fax_number": "713-500-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 M.D. ANDERSON BLVD.",
            "address_2": "RM. 1.076",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-500-4154",
            "fax_number": "713-500-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "WENJIAN",
        "name_prefix": "Dr.",
        "credential": "DDS, PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "TX",
            "license": "F-23191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.