Michael R. Wang, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL R. WANG, DDS, INC.

Practice address

43480 Mission Blvd Unit 160
Fremont, CA 94539-5892

Phone

(510) 980-7325

Fax

(510) 980-7328

NPI assigned

Apr 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Michael Wang, DDSNPI 1952751901

Title

President

Phone

(510) 980-7325

Specialties & licenses 1

Addresses

Other names 1

• Mission Peak Pediatric Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Wang

  • Student in an Organized Health Care Education/Training Program
  • Bronx, NY
  • NPI 1952751901
  NPD Authorized official

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1790367100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43480 MISSION BLVD UNIT 160",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395892",
            "telephone_number": "510-980-7325",
            "fax_number": "510-980-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43480 MISSION BLVD UNIT 160",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395892",
            "telephone_number": "510-980-7325",
            "fax_number": "510-980-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. WANG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-980-7325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Peak Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Peak Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Elizabeth Meza
• Emily Micco
• Michael F Fauria OD and Susan M Pirrone OD a Professional Optom
• Michael Okumoto, DDS, Dental Corp.
• Michael R. Ricupito, DDS, Ms, Inc.
• Hannah Milam, OT
• Alan Milano, OD
• Kelly Renee Miller, MD
• Linda Kristine Miller, D.C.
• Rachel A.S. Miller, PA-C

• Dental Clinic/Center in Fremont, CA
• Providers in Fremont, 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 Jun 10, 2021; 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.