VINCENT W H WANG DDS INC
NPI 1104581370
Dentist - Periodontics in Pasadena, CA

Active since November 03, 2021
572 E GREEN ST STE 205, PASADENA, CA 91101(626) 796-2800 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vincent W H Wang Dds Inc NPPES

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

VINCENT W H WANG DDS INC (NPI 1104581370) is a healthcare organization registered as a periodontics in Pasadena, California and active in the NPI registry since November 2021. The organization lists Vincent Wang, Doctor, Owner, as its authorized official.

NPPES Registry Identity

NPI1104581370
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameVINCENT W H WANG DDS INC
Location Address572 E GREEN ST STE 205Pasadena, CA 91101-2075
Mailing Address572 E Green St Ste 205Pasadena, CA 91101-2075 · (626) 796-2800
Organization SubpartNo
Authorized OfficialVincent WangDoctor, Owner · (626) 796-2800
Enumeration DateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1104581370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
572 E GREEN ST STE 205, Pasadena, CA 91101

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vincent W H Wang Dds Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vincent W H Wang DDS Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1366503385
572 E GREEN ST SUITE 205
Pasadena, CA 91101
(626) 796-2800
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vincent W H Wang Dds Inc's NPI number?

The NPI number for Vincent W H Wang Dds Inc is 1104581370. It was assigned to this organization in the NPPES registry on November 3, 2021.

Where is Vincent W H Wang Dds Inc located?

Vincent W H Wang Dds Inc is located at 572 E Green St Ste 205, Pasadena, CA 91101. The listed phone number is (626) 796-2800.

What is Vincent W H Wang Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Vincent W H Wang Dds Inc enrolled in Medicare?

Yes. Vincent W H Wang Dds Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vincent W H Wang Dds Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Vincent W H Wang Dds Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vincent W H Wang Dds Inc was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.