Active NPI
Catherine M Wang, DDS
- General Practice Dentistry
- Torrance, CA
National Provider Identifier
1962597856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49023
- Practice address
- 23601 Crenshaw Blvd
Torrance, CA 90505-5204 - Phone
- (310) 257-8043
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21248 | MA | |
| General Practice Dentistry | 1223G0001X | 49023 | CA | Primary |
Addresses
Primary practice location
23601 Crenshaw Blvd
Torrance, CA 90505-5204
Mailing address
23601 Crenshaw Blvd
Torrance, CA 90505-5204
Phone (310) 257-8043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X09131 | Other | MA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49023 | CA | MD | General Practice Dentistry |
| 21248 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1962597856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23601 CRENSHAW BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055204",
"telephone_number": "310-257-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23601 CRENSHAW BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055204",
"telephone_number": "310-257-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "CATHERINE",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "21248",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "X09131",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.