Leonard R Wan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02454100 Issued in NJ

Practice address

8 Main St
Suite 6
Flemington, NJ 08822-1468

Phone

(908) 782-6606

NPI assigned

Dec 6, 2010

Sex

Male

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439078400000",
    "number": "1992008437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MAIN ST",
            "address_2": "SUITE 6",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221468",
            "telephone_number": "908-782-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MAIN ST",
            "address_2": "SUITE 6",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221468",
            "telephone_number": "908-782-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAN",
        "first_name": "LEONARD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2015-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02454100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn A. Wall, APN
• Shannon Wall, COTA/L
• John M. Walsh, DVM
• Maureen K Walsh, APN BC
• Kelly Rotella Walters, PHD
• Edward Wang, M.D.
• Jennifer J Wang, PHARMD
• Kevin Y Wang
• Carmen Cassandra Ward, LPC, ACS, NCC,CCSOTS
• Rebecca J Warrington-Kretch, LCSW

• General Practice Dentistry in Flemington, NJ
• Providers in Flemington, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.