Active NPI
Gefei Wang, DDS
- Dentist
- Haltom City, TX
National Provider Identifier
1750010609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38417
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 38417 | TX | MD | Dentist |
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.