Individual provider Active NPI

Yoonhee Ahn Wang, D.M.D.

  • Dentist
  • Nottingham, MD
National Provider Identifier
1740639558
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16257 Issued in MD
Practice address
9650 Belair Rd
Nottingham, MD 21236-1106
Phone
(410) 256-2044
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16257 MD Primary

Addresses

Primary practice location

9650 Belair Rd
Nottingham, MD 21236-1106

Mailing address

9650 Belair Rd
Nottingham, MD 21236-1106

Other practice location 1

3486A Emmorton Rd
Abingdon, MD 21009-2016
Phone (410) 256-2044

Other practice location 2

1403 Point St
Baltimore, MD 21231-3385
Phone (410) 256-2044

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16257MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1740639558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361106",
            "telephone_number": "410-256-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3486A Emmorton Rd",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "MD",
            "postal_code": "210092016",
            "country_code": "US",
            "telephone_number": "410-256-2044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1403 Point St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212313385",
            "country_code": "US",
            "telephone_number": "410-256-2044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "YOONHEE",
        "middle_name": "AHN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; 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.