Individual provider Active NPI

Amelia J Wang, DMD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1881908143
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0025679 Issued in TX
Practice address
3004 Yale St Ste 500
Houston, TX 77018-8438
Phone
(713) 331-3177
Fax
(713) 331-3178
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0025679 TX Primary

Addresses

Primary practice location

3004 Yale St Ste 500
Houston, TX 77018-8438

Mailing address

3004 Yale St Ste 500
Houston, TX 77018-8438
Phone (713) 331-3177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906002045 TX Order and Referring Only - DentistPractitioner - Dentist 8527354208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0025679TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amelia Wang PLLC General Practice CurrentSince Nov 17, 2024 Accepting new patients

Locations

3004 Yale St
Ste 500
Houston, TX 77018
Phone (713) 331-3177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1881908143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 YALE ST STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188438",
            "telephone_number": "713-331-3177",
            "fax_number": "713-331-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 YALE ST STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188438",
            "telephone_number": "713-331-3177",
            "fax_number": "713-331-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "AMELIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0025679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.