Active NPI
Jonathan Z Wang, DDS
- General Practice Dentistry
- Bladenboro, NC
National Provider Identifier
1780812438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8894
- Practice address
- 104 4TH Street
Bladenboro, NC 28320 - Phone
- (910) 863-2377
- NPI assigned
- Jul 1, 2009
- Last updated
- Jan 7, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5992 | LA | |
| General Practice Dentistry | 1223G0001X | 8894 | NC | Primary |
Addresses
Primary practice location
104 4TH Street
Bladenboro, NC 28320
Mailing address
104 4TH Street
Bladenboro, NC 28320
Phone (910) 863-2377
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 |
|---|---|---|---|
| 5992 | LA | MD | Professional Counselor |
| 8894 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Z. Wang, D.D.S., P.L.L.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carolina Smiles
- General Practice Dentistry
- Greensboro, NC
- NPI 1851693774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1780812438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 4TH STREET",
"city": "BLADENBORO",
"state": "NC",
"postal_code": "28320",
"telephone_number": "910-863-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 4TH STREET",
"city": "BLADENBORO",
"state": "NC",
"postal_code": "28320",
"telephone_number": "910-863-2377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "JONATHAN",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "5992",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bladenboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.