DR. JOSEPH WANG (NPI# 1174746689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174746689 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH WANG |
| Credential | DDS |
| Practice Address |
950 E Bogard Rd Suite #225 Wasilla AK 99654-7184 |
| Practice Telephone | 9073760600 |
| Practice Fax Number | 9073730745 |
| Mailing Telephone | 9073760600 |
| Mailing Fax Number | 9073730745 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1056 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DDG046 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568994465 | Joseph Wang | Pharmacist | 1825 Pepperdale Dr, Rowland Heights, CA 91748 | 2017-03-30 |
| 1518070648 | Joseph H Wang | Oral & Maxillofacial Surgery | 1101 First St S, Willmar, MN 56201 | 2006-08-15 |
| 1881636728 | Joseph J Wang | Chiropractor | 933 Spring St, Philadelphia, PA 19107-1815 | 2006-06-12 |
| 1578564613 | Joseph Wang | Radiology | 5 Morgan Hwy, Ste 7, Scranton, PA 18508-2641 | 2005-08-10 |
| 1700306925 | Joseph Wang | Internal Medicine | 982055 Nebraska Medical Ctr, Omaha, NE 68198-2055 | 2017-06-20 |
| 1962945089 | Joseph Xiaoqing Wang | Nurse Practitioner | 3280 E Foothill Blvd, Pasadena, CA 91107-3103 | 2016-11-21 |
| 1649626805 | Joseph Lee-ming Wang | Family Medicine | 100 Vermont Ave, Oak Ridge, TN 37830-6471 | 2016-05-06 |
| 1134516602 | Joseph Wang | Student in an Organized Health Care Education/Training Program | 520 East 70th Street, Starr Pavilion 4th Floor, St 443, New York, NY 10021 | 2015-04-22 |
| 1841695822 | Joseph Wang | Dentist | 1625 Anderson Ave, Suite 302, Fort Lee, NJ 07024-2748 | 2014-11-03 |
| 1437118718 | Joseph L Wang | Internal Medicine | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-03-23 |
| Street Address |
950 E BOGARD RD SUITE #225 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831188473 | Laura Jean Peterson | Pediatrics | 950 E Bogard Rd, Ste 233, Wasilla, AK 99654-7184 | 2005-10-17 |
| 1801314927 | Tracie East | Physical Therapist | 950 E Bogard Rd, Wasilla, AK 99654-7184 | 2017-09-08 |
| 1346776150 | Patricia B Payne | Nurse Practitioner | 950 E Bogard Rd, Suite #228, Wasilla, AK 99654-7184 | 2017-05-11 |
| 1578928628 | Gagnon Plastic and Reconstructive Surgery | Plastic Surgery | 950 E Bogard Rd, Suite 209, Wasilla, AK 99654-7184 | 2015-12-16 |
| 1659700292 | Hillary Ryan Linden | Physician Assistant | 950 E Bogard Rd, Suite 103, Wasilla, AK 99654-7184 | 2013-11-04 |
| 1578995304 | Mat-su Neurology, LLC | Clinic/Center | 950 E Bogard Rd, Suite 213, Wasilla, AK 99654-7184 | 2013-08-03 |
| 1114269313 | Odland Family Practice Clinic, LLC | Family Medicine | 950 E Bogard Rd, Suite 234, Wasilla, AK 99654-7184 | 2013-03-26 |
| 1619212479 | Janet L Shelley | Nurse Practitioner | 950 E Bogard Rd, Suite 233, Wasilla, AK 99654-7184 | 2012-12-05 |
| 1366752560 | Mat-su Valley IIi LLC | Internal Medicine | 950 E Bogard Rd, Suite 207, Wasilla, AK 99654-7184 | 2010-10-21 |
| 1700013570 | David Dwight Buckland | Psychiatry & Neurology | 950 E Bogard Rd, Suite 213, Wasilla, AK 99654-7184 | 2009-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
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| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477041721 | Sameer Kapil, Dmd, LLC | Dentist | 951 E Bogard Rd Ste 203, Wasilla, AK 99654-7176 | 2018-04-23 |
| 1932582327 | Jason Lane | Dentist | 1301 E Palmer Wasilla Hwy Ste 600, Wasilla, AK 99654-7256 | 2015-07-02 |
| 1396155131 | Justin Coffman | Dentist | 351 W Swanson Ave Ste 1, Wasilla, AK 99654-6853 | 2014-05-01 |
| 1437419447 | Valley Dental Clinic | Dentist | 935 E Westpoint Dr Ste 201, Wasilla, AK 99654-7181 | 2012-05-23 |
| 1689816969 | Hans P. Nordstrom Dds | Dentist | 1001 E. Usa Circle, Suite B, Wasilla, AK 99654-7198 | 2009-04-01 |
| 1134370364 | Jerry William Chernik | Dentist | 950 Bogard Rd., Suite #225, Wasilla, AK 99654 | 2008-10-07 |
| 1205010246 | David Mark Prator Sr. | Dentist | 4501 E Snider Drive, Wasilla, AK 99654 | 2007-12-27 |
| 1598958324 | Drue Pickens | Dentist | 1551 W. Parks Hwy, Aesthetic Family Dentistry, Wasilla, AK 99654 | 2007-08-24 |
| 1871701458 | Scott A Methven | Dentist | 1551 W Parks Hwy, Aesthetic Family Dentistry, Wasilla, AK 99654 | 2007-05-18 |
| 1093920431 | Advanced Family Dentistry | Dentist | 1401 South Seward Meridian Parkway, Suite E, Wasilla, AK 99654 | 2007-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.