Organization Active NPI

Jonathan C. Wang, DDS Inc.

  • General Practice Dentistry
  • Pleasanton, CA
National Provider Identifier
1922776574
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JONATHAN C. WANG, DDS INC.
Practice address
5990 Stoneridge Dr Ste 117
Pleasanton, CA 94588-3234
Phone
(925) 308-5060
NPI assigned
Aug 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Dr. Jonathan Chu Wang, DDSNPI 1922564640
Title
President
Phone
(510) 333-9082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5990 Stoneridge Dr Ste 117
Pleasanton, CA 94588-3234

Mailing address

111 Bell Ave
Piedmont, CA 94611-3403

National Provider Directory

National Provider Directory

Locations

5990 Stoneridge Dr
Ste 117
Pleasanton, CA 94588
Phone (925) 308-5060

Practitioners & affiliated clinicians

Practitioners 1

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": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1922776574",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 STONERIDGE DR STE 117",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883234",
            "telephone_number": "925-308-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN C. WANG, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-333-9082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.