Active NPI
Allan Yuanshan Wang, DMD, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pleasant Hill, CA
National Provider Identifier
1881189736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 102504
- Practice address
- 2710 Pleasant Hill Rd
Pleasant Hill, CA 94523-2036 - Phone
- (925) 947-1188
- NPI assigned
- Jun 24, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 102504 | CA | Primary |
Addresses
Primary practice location
2710 Pleasant Hill Rd
Pleasant Hill, CA 94523-2036
Mailing address
2710 Pleasant Hill Rd
Pleasant Hill, CA 94523-2036
Phone (925) 947-1188
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102504 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wang & Mo Dental Group, PC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Pediatric Dentistry of Pleasant Hill | Past | Accepting new patients |
Locations
2710 Pleasant Hill Rd
Pleasant Hill, CA 94523
Phone (925) 947-1188
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Pleasant Hill, CA
- NPI 1730953530
Orthodontics and Dentofacial Orthopedics
-
- Pediatric Dentistry
- Pleasant Hill, CA
- NPI 1356884530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1881189736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 PLEASANT HILL RD",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232036",
"telephone_number": "925-947-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 PLEASANT HILL RD",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232036",
"telephone_number": "925-947-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "ALLAN",
"middle_name": "YUANSHAN",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-24",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "102504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.