DR. AUDREY WANG DDS
NPI 1184144867
Dentist - Periodontics in San Diego, CA

Q: What is Audrey Wang's NPI number?

The NPI number for Audrey Wang is 1184144867. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Q: What is Audrey Wang's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Audrey Wang was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 June 22, 2017

4765 CARMEL MOUNTAIN RD STE 204, SAN DIEGO, CA 92130(858) 259-1168 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 16, 2025, Aug 30, 2023, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Audrey Wang Dds NPPES

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

DR. AUDREY WANG DDS (NPI 1184144867) is an individual periodontics provider in San Diego, California, licensed in California (111004) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1184144867

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. AUDREY WANGCredential: DDS

Location Address4765 CARMEL MOUNTAIN RD STE 204San Diego, CA 92130-6657

Mailing Address4765 Carmel Mountain Rd Ste 204San Diego, CA 92130-6657

Phone(858) 259-1168

Sole ProprietorYes

Enumeration DateJune 22, 2017

Last NPPES UpdateDecember 16, 20254 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1184144867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 111004

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.

4765 CARMEL MOUNTAIN RD STE 204, San Diego, CA 92130

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

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

AUDREY WANG DDS CORPORATION

Dentist (Periodontics)

4765 CARMEL MOUNTAIN RD STE 204
SAN DIEGO, CA 92130

San Diego County (858) 925-1188

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 Audrey Wang's NPI number?

The NPI number for Audrey Wang is 1184144867. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Audrey Wang located?

Audrey Wang practices at 4765 Carmel Mountain Rd Ste 204, San Diego, CA 92130. The listed phone number is (858) 259-1168.

What is Audrey Wang's specialty?

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

What insurance does Audrey Wang accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Audrey Wang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Audrey Wang was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.