DR. JOAN C WANG DDS, MS
NPI 1093219784
Dentist - Orofacial Pain in Chicago, IL

Q: What is Joan Wang's NPI number?

The NPI number for Joan Wang is 1093219784. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Q: What is Joan Wang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Q: Is Joan Wang enrolled in Medicare?

No. Joan Wang has opted out of Medicare through July 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Joan Wang was last updated on November 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 19, 2018Opted out of Medicare · through Jul 29, 2028

2551 N CLARK ST STE 404, CHICAGO, IL 60614(773) 873-6372 Get Directions Write a Review

NPPES record last updated: November 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 11, 2023, Jul 19, 2022, Mar 19, 2018 (3 updates tracked since 2018).

On this page

About Dr. Joan C Wang Dds, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOAN C WANG DDS, MS (NPI 1093219784) is an individual orofacial pain provider in Chicago, Illinois, licensed in Illinois (019024956) and active in the NPI registry since March 2018. She has opted out of Medicare through July 29, 2028.

NPPES Registry Identity

NPI1093219784

Entity TypeIndividualFemale

Primary Taxonomy1223X2210X

Provider Legal NameDR. JOAN C WANGCredential: DDS, MS

Location Address2551 N CLARK ST STE 404Chicago, IL 60614-7729

Mailing Address2551 N Clark St Ste 404Chicago, IL 60614-7729

Phone(773) 873-6372

Sole ProprietorNo

Enumeration DateMarch 19, 2018

Last NPPES UpdateNovember 11, 20233 updates tracked since enumeration

NPPES CertifiedNovember 11, 2023

✔ NPI 1093219784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Orofacial PainDental Providers

Taxonomy Code1223X2210X

License✔ Licensed in IL · 019024956

Definition

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

Also ListedDentistTaxonomy 122300000X · License 019024956 (IL)

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019024956 (IL)

2551 N CLARK ST STE 404, Chicago, IL 60614

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Joan C Wang Dds, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 29, 2022 through July 29, 2028.

Opt-Out Effective DateJuly 29, 2022

Opt-Out In Effect ThroughJuly 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE OROFACIAL PAIN CENTER

Dentist (Orofacial Pain)

2551 N CLARK ST STE 404
CHICAGO, IL 60614

Cook County (773) 873-6372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joan Wang's NPI number?

The NPI number for Joan Wang is 1093219784. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Joan Wang located?

Joan Wang practices at 2551 N Clark St Ste 404, Chicago, IL 60614. The listed phone number is (773) 873-6372.

What is Joan Wang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Joan Wang enrolled in Medicare?

No. Joan Wang has opted out of Medicare through July 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Joan Wang was last updated on November 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.