1. Home
  2. Directory
  3. Massachusetts
  4. Roxbury
  5. Dentist
  6. NPI Profile

DR. LI WANG DMD
NPI 1376629659
Dentist in Roxbury, MA

Active since October 28, 2006PECOS Enrolled
2181 WASHINGTON ST, SUITE 101, ROXBURY, MA 02119(617) 427-5665(617) 445-2708 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Li Wang Dmd NPPES

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

DR. LI WANG DMD (NPI 1376629659) is an individual dentist in Roxbury, Massachusetts, licensed in Massachusetts (21577) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376629659
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. LI WANGCredential: DMD
Location Address2181 WASHINGTON ST, SUITE 101Roxbury, MA 02119-2082
Mailing Address860 Harrison Ave, Apt # 1206Boston, MA 02118-4002 · (617) 838-0889
Phone(617) 427-5665
Fax(617) 445-2708
Sole ProprietorNo
Enumeration DateOctober 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376629659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · 21577
Definition
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.
2181 WASHINGTON ST, Roxbury, MA 02119
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Li Wang Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

KATHRYN STAHLHUTH HOLTHAUS D.D.S
Dentist (Pediatric Dentistry)
2181 WASHINGTON ST
ROXBURY, MA 02119
Suffolk County (617) 606-3049
JOYCE S GITANGU DMD
Dentist (General Practice)
2181 WASHINGTON ST, 101
ROXBURY, MA 02119
Suffolk County (617) 427-5665
DR. DAVID HURTADO M.D.
Physical Medicine & Rehabilitation
2181 WASHINGTON ST, SUITE 305
ROXBURY, MA 02119
Suffolk County (617) 541-0772
DR. ANUBHA SACHETI DMD
Dentist (General Practice)
2181 WASHINGTON ST, SUITE 101
ROXBURY, MA 02119
Suffolk County (617) 445-6794

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 Li Wang's NPI number?

The NPI number for Li Wang is 1376629659. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Where is Li Wang located?

Li Wang practices at 2181 Washington St Suite 101, Roxbury, MA 02119. The listed phone number is (617) 427-5665.

What is Li Wang's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Li Wang enrolled in Medicare?

Yes. Li Wang is registered in the Medicare PECOS enrollment system.

What insurance does Li Wang accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Li 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 Li Wang was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.