Vicki H. Wang Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

47206 Issued in CA

Legal business name

VICKI H. WANG DENTAL CORPORATION

Doing business as

smile now dental

Practice address

1282 N Lake Ave
Pasadena, CA 91104-2854

Phone

(626) 797-3451

Fax

(626) 797-3431

NPI assigned

Jul 5, 2012

Last updated

Jul 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vicki Hyuna Wang, DDSNPI 1063771442

Title

President

Phone

(626) 797-3451

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• smile now dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vicki Hyuna Wang, DDS

  • Dentist
  • Pasadena, CA
  • NPI 1063771442
  Authorized official Same address or phone

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1750646865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042854",
            "telephone_number": "626-797-3451",
            "fax_number": "626-797-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042854",
            "telephone_number": "626-797-3451",
            "fax_number": "626-797-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI H. WANG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "HYUNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-797-3451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "47206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1064883749",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "smile now dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.