Individual provider Active NPI

Jeffrey Wang, DMD

  • Periodontics
  • Las Vegas, NV
National Provider Identifier
1851329189
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
S4-53 Issued in NV
Practice address
7151 Cascade Valley CT
107
Las Vegas, NV 89128-0496
Phone
(702) 233-9988
Fax
(702) 233-9012
NPI assigned
Jun 28, 2006
Last updated
Jul 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X S4-53 NV Primary

Addresses

Primary practice location

7151 Cascade Valley CT
107
Las Vegas, NV 89128-0496

Mailing address

7151 Cascade Valley CT
107
Las Vegas, NV 89128-0496
Phone (702) 233-9988

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

LicenseStateTypeSpecialty
S4-53NVMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Chen and Associates PC Periodontics PastSince Oct 21, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1851329189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 CASCADE VALLEY CT",
            "address_2": "107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280496",
            "telephone_number": "702-233-9988",
            "fax_number": "702-233-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 CASCADE VALLEY CT",
            "address_2": "107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280496",
            "telephone_number": "702-233-9988",
            "fax_number": "702-233-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JEFFREY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "S4-53",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.