Individual provider Active NPI

Gefei Wang, DDS

  • Dentist
  • Haltom City, TX
National Provider Identifier
1750010609
Registry record updated Jul 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38417 Issued in TX
Practice address
5190 Western Center Blvd
Haltom City, TX 76137-2144
Phone
(817) 646-8173
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38417 TX Primary

Addresses

Primary practice location

5190 Western Center Blvd
Haltom City, TX 76137-2144

Mailing address

2420 Jefferson Point Dr Apt 734
Arlington, TX 76006-4239
Phone (734) 277-2485

Other practice location 1

2747 N O Connor Rd
Irving, TX 75062-5650
Phone (972) 871-7681

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
38417TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690588800000",
    "number": "1750010609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 JEFFERSON POINT DR APT 734",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760064239",
            "telephone_number": "734-277-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 WESTERN CENTER BLVD",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761372144",
            "telephone_number": "817-646-8173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2747 N O Connor Rd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750625650",
            "country_code": "US",
            "telephone_number": "972-871-7681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "GEFEI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-07-29",
        "certification_date": "2023-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haltom City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.