Organization Active NPI

Xin Jenny Wang, D.M.D.

  • Dentist
  • Woburn, MA
National Provider Identifier
1750572970
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20553 Issued in MA
Legal business name
XIN JENNY WANG, D.M.D.
Practice address
110 Winn St
Suite 206
Woburn, MA 01801
Phone
(781) 933-5023
Fax
(781) 207-4678
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Xin Jenny Wang
Title
Dr./Dentist /Owner
Phone
(781) 933-5023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20553 MA Primary

Addresses

Primary practice location

110 Winn St
Suite 206
Woburn, MA 01801

Mailing address

110 Winn St
Suite 206
Woburn, MA 01801-2897
Phone (781) 933-5023

Other names 1

  • Woburn Family Dental Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1750572970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WINN ST",
            "address_2": "SUITE 206",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012897",
            "telephone_number": "781-933-5023",
            "fax_number": "781-207-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WINN ST",
            "address_2": "SUITE 206",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-933-5023",
            "fax_number": "781-207-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIN JENNY WANG, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "XIN",
        "authorized_official_middle_name": "JENNY",
        "authorized_official_title_or_position": "DR./DENTIST /OWNER",
        "authorized_official_telephone_number": "781-933-5023",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woburn Family Dental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.