Blake Wang DMD PC
NPI 1174121354 · Dental Clinic/Center · Walnut Creek, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blake Wang DMD PC is a Dental Clinic/Center organization in Walnut Creek, CA (NPI 1174121354).
Provider details
- NPI number
- 1174121354
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Blake Wang, Owner(781) 325-6621
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-10-11
- Last updated
- 2020-10-11
- Certified
- 2020-10-11
Frequently asked questions
- What is Blake Wang DMD PC's NPI number?
- Blake Wang DMD PC's National Provider Identifier (NPI) is 1174121354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blake Wang DMD PC?
- Blake Wang DMD PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blake Wang DMD PC located?
- Blake Wang DMD PC's practice location on file with NPPES is 2067 Ygnacio Valley Rd, Walnut Creek, CA 94598-3301.
- What is Blake Wang DMD PC's phone number?
- The practice phone number listed in the NPPES registry for Blake Wang DMD PC is (925) 934-1211.
- Does Blake Wang DMD PC accept Medicare?
- Blake Wang DMD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blake Wang DMD PC?
- The authorized official listed on Blake Wang DMD PC's NPPES record is Blake Wang, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blake Wang DMD PC's NPI active?
- Yes — Blake Wang DMD PC's NPI (1174121354) is active in the NPPES registry as of the last update on 2020-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.