Wow Dental for Kids Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

MA18640 Issued in MA

Legal business name

WOW DENTAL FOR KIDS INC

Practice address

1077 Lexington St
Waltham, MA 02452-7233

Phone

(781) 899-0014

NPI assigned

May 24, 2016

Last updated

May 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chun Yu Yogi ChenNPI 1841212461

Title

Owner

Phone

(508) 904-8670

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chun Yu Yogi Chen, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
  • NPI 1841212461
  Authorized official Same address or phone

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1922455542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 LEXINGTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024527233",
            "telephone_number": "781-899-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 LEXINGTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024527233",
            "telephone_number": "781-899-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOW DENTAL FOR KIDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHUN YU",
        "authorized_official_middle_name": "YOGI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-904-8670"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "MA18640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Leontine Woolbert, MA PSYCHOANALYSIS
• Michelle Woolfrey, NP
• Donald Worden, PT
• Jennifer Claire Worden, MSPT
• Adena Worona
• Heather Jean Wright, PT
• Stephen Wright, PA-C
• Tayllor Wright, RPH
• Thomas Hartmann Wuerz, MD
• Charles-John Wynters, ATC

• Orthodontics and Dentofacial Orthopedics Dentistry in Waltham, MA
• Providers in Waltham, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.