✓ Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) (1223G0001X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

JOHN WANG, DDS (NPI #1881997682)

Dentist, General Practice • TEECNOSPOS, AZ • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1881997682
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1223G0001X (CMS C5)
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
US HWY 160 & NAVAJO ROUTE 35 - RED MESA, TEECNOSPOS, AZ, 86514
Official NPPES Practice Location
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1881997682 (JOHN WANG, DDS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1881997682 (NPI-1 Individual Practitioner)
Provider / Legal NameJOHN WANG, DDS
Plain-English SpecialtyLicensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
NUCC Code: 1223G0001X (Dentist, General Practice)
Certifying / Licensing BodyAmerican Dental Association (ADA) / State Board of Dental Examiners
Practice Location AddressUS HWY 160 & NAVAJO ROUTE 35 - RED MESA, TEECNOSPOS, AZ, 86514
Practice Telephone / FaxTel: (928) 656-5000
Administrative Mailing AddressPO BOX 160, SHIPROCK, NM, 87420-0160
Enumeration & Last SyncEnumerated: 2010-12-16 | CMS Record Updated: 2021-08-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

US HWY 160 & NAVAJO ROUTE 35 - RED MESA, TEECNOSPOS, AZ, 86514

🗺️ Open in Google Maps 🏥 More Providers in TEECNOSPOS

Plain-English Taxonomy & CMS Crosswalk (1223G0001X)

What Does Taxonomy Code 1223G0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223G0001X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C5 (Dentist)
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JOHN WANG, DDS)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
  • Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
Common Therapeutic Classes:
  • Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
  • Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
1223G0001X — Dentist, General Practice
Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
State: CA | License: 60057 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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