Jonathan Chu Wang

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105255 Issued in CA

Practice address

111 Bell Ave
Piedmont, CA 94611-3403

Phone

(510) 652-7826

NPI assigned

Feb 19, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jonathan C. Wang, DDS Inc.

  • General Practice Dentistry
  • Pleasanton, CA
  • NPI 1922776574
  NPD Authorized official

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639872000000",
    "number": "1922564640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BELL AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113403",
            "telephone_number": "510-652-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BELL AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113403",
            "telephone_number": "510-652-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JONATHAN",
        "middle_name": "CHU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Unpingco, FNP-C
• Vicky Valverde-Salas, M.D.
• Karen Van Leuven, PHD, FNP
• VVS Primary Care Medical Group
• VVS Primary Care Medical Group, Inc.
• Patricia French Wede, R.N., GNP
• Jennifer Faust Weinstein, PSYD
• Melissa Ilene Wenters, AU D
• Adrian Lloyd Willey, MA
• Mira Louise Wollenberg

• General Practice Dentistry in Piedmont, CA
• Providers in Piedmont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2021; 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.