Active NPI
Xin Jenny Wang, D.M.D.
- Dentist
- Woburn, MA
National Provider Identifier
1750572970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20553
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryNPI 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.