DR. LI WANG (NPI# 1376629659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376629659 |
| Entity Type | Individual |
| Full Name | DR. LI WANG |
| Credential | DMD |
| Practice Address |
2181 Washington St Suite 101 Roxbury MA 02119-2082 |
| Mailing Address |
860 Harrison Ave Apt # 1206 Boston MA 02118-4002 |
| Practice Telephone | 6174275665 |
| Practice Fax Number | 6174452708 |
| Mailing Telephone | 6178380889 |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 21577 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876949 | Li Wang | Nurse Practitioner | 2304 Leeway Dr, Hudson, OH 44236-1819 | 2020-09-21 |
| 1528693488 | Li Wang | Acupuncturist | 20542 N Lake Pleasant Rd Ste 103, Peoria, AZ 85382-9749 | 2020-03-11 |
| 1902391832 | Li Wang | Acupuncturist | 15 Park Ave Ste 1, New York, NY 10016-4348 | 2018-06-23 |
| 1295132785 | Li Wang | Nurse Practitioner | 1821 Martin Luther King Pkwy # 100277, Durham, NC 27707 | 2014-11-26 |
| 1841691144 | Li Wang | Specialist | 34804 Se Jacobia St, Snoqualmie, WA 98065-5019 | 2014-09-06 |
| 1801055512 | Li Wang | Pharmacist | 2545 Pacific Coast Highway, Torrance, CA 90505 | 2008-06-06 |
| 1326195892 | Li Wen Wang | Optometrist | 500 E Ben White Blvd, Ste D - 600, Austin, TX 78704-7470 | 2007-01-05 |
| 1932268794 | Li Wang | Acupuncturist | 8120 Penn Ave S Ste 419, Bloomington, MN 55431-1351 | 2006-12-07 |
| 1083240378 | Li Wang | Dietitian, Registered | 120 San Lucar Ct, Sunnyvale, CA 94086-5213 | 2020-03-18 |
| 1477915478 | Li Wang | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2016-03-28 |
| Street Address |
2181 WASHINGTON ST SUITE 101 |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-2082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154878700 | Dhir Patel | Dentist | 2181 Washington St, Roxbury, MA 02119-2082 | 2016-09-01 |
| 1033593009 | Kathryn Stahlhuth Holthaus | Dentist | 2181 Washington St, Roxbury, MA 02119-2082 | 2015-07-19 |
| 1235395906 | Xianli Tang | Dentist | 2181 Washington St, Suite 101, Roxbury, MA 02119-2082 | 2008-08-01 |
| 1073771739 | Joyce S Gitangu | Dentist | 2181 Washington St, 101, Roxbury, MA 02119-2082 | 2008-05-29 |
| 1982776464 | Anubha Sacheti | Dentist | 2181 Washington St, Suite 101, Roxbury, MA 02119-2082 | 2006-11-14 |
| 1376614412 | David Hurtado | Physical Medicine & Rehabilitation | 2181 Washington St, Suite 305, Roxbury, MA 02119-2082 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| 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 |
|---|---|---|---|---|
| 1568623841 | Lue Dee Jackson Jr. | Dentist | 386 A-b Warren Street, Roxbury, MA 02119 | 2008-06-19 |
| 1629241872 | Rena Yvonne Small | Dentist | 386 Warren St, Roxbury, MA 02119-1830 | 2008-04-09 |
| 1225207517 | Dental Dreams, LLC | Dentist | 3033 Washington St, Roxbury, MA 02119-1227 | 2008-02-21 |
| 1922154301 | Suresh K Naidu | Dentist | 156 Dudley St, Roxbury, MA 02119 | 2007-01-26 |
| 1740822964 | Bhuvan Shome Venigalla | Dentist | 3033 Washington St, Roxbury, MA 02119-1227 | 2019-10-09 |
| 1295393528 | Evelyn Jin | Dentist | 3033 Washington St, Roxbury, MA 02119-1227 | 2019-06-01 |
| 1891350419 | Nael Sayegh | Dentist | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-05-08 |
| 1710443171 | Rachel Horwitz | Dentist | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-02-11 |
| 1013483106 | Zohaib Ahmed | Dentist | 45 Dimock St, Roxbury, MA 02119-1208 | 2018-10-17 |
| 1083108922 | Selena Maria Francis | Dentist | 45 Dimock St, Roxbury, MA 02119-1208 | 2018-06-14 |
| Find all providers in ROXBURY | ||||
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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.