Organization Active NPI

Rose L. Wang, DMD, LLC

  • General Practice Dentistry
  • Lexington, MA
National Provider Identifier
1912272170
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19005 Issued in MA
Legal business name
ROSE L. WANG, DMD, LLC
Practice address
394 Lowell St
Suite 2
Lexington, MA 02420-2545
Phone
(781) 862-3333
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Rose L Wang, D.M.D.
Title
Owner
Phone
(781) 820-9730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN19005 MA Primary

Addresses

Primary practice location

394 Lowell St
Suite 2
Lexington, MA 02420-2545

Mailing address

394 Lowell St
Suite 2
Lexington, MA 02420-2545
Phone (781) 862-3333

Other names 1

  • Rose L Wang, DMD Doing business as

National Provider Directory

National Provider Directory

Locations

394 Lowell St
Ste 2
Lexington, MA 02420
Phone (781) 241-2477

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1912272170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 LOWELL ST",
            "address_2": "SUITE 2",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202545",
            "telephone_number": "781-862-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 LOWELL ST",
            "address_2": "SUITE 2",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202545",
            "telephone_number": "781-862-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE L. WANG, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-820-9730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN19005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose L Wang, DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.