Individual provider Active NPI

Austin H Wang, DDS

  • Periodontics
  • Concord, NH
National Provider Identifier
1740339605
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
3289 Issued in NH
Practice address
153 Manchester St Suite 5
Concord, NH 03301
Phone
(603) 224-9474
Fax
(603) 224-9232
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 3289 NH Primary

Addresses

Primary practice location

153 Manchester St Suite 5
Concord, NH 03301

Mailing address

153 Manchester St Suite 5
Concord, NH 03301
Phone (603) 224-9474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3289NHMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Vision Center PC CurrentSince Apr 1, 2021 Accepting new patients

Locations

153 Manchester St
Ste 5
Concord, NH 03301
Phone (603) 224-9474

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740339605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MANCHESTER ST SUITE 5",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-224-9474",
            "fax_number": "603-224-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MANCHESTER ST SUITE 5",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-224-9474",
            "fax_number": "603-224-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "AUSTIN",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "3289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.