Vincent Mu-Shyuan Wang, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7555 Issued in NV

Practice address

9285 S Cimarron Rd Ste 125
Las Vegas, NV 89178-2506

Phone

(623) 986-3646

NPI assigned

Sep 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1699444349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7327 LABURNUM ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133211",
            "telephone_number": "623-986-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9285 S CIMARRON RD STE 125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891782506",
            "telephone_number": "623-986-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "VINCENT",
        "middle_name": "MU-SHYUAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vincent.wang@pacden.com",
            "affiliation": "Y",
            "endpointDescription": "Secure Email",
            "affiliationName": "Pacific Dental Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9285 S Cimarron Rd Ste 125",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891782506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shyh-Jeun Wang, M.D.
• Stephanie Shin Wang
• Sydney Wang
• Tingting Wang
• Vicky Wang
• Wei-Gang Andrew Wang, M.D.
• Wendy Wang
• Xiao Ming Wang
• Xin Wang, PA-C
• Yan Wang

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.