IndividualActive
Andy Wan, DDS
NPI 1194019901 · Dentist · Bronx, NY
Andy Wan, DDS is a Dentist provider in Bronx, NY (NPI 1194019901).
Provider details
- NPI number
- 1194019901
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 056280 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
4422 Third Avenue
St. Barnabas Hospital/Mills Building - Dental
Bronx, NY 10457
Phone: (718) 332-9888
Street-level locationGet directions
Mailing address
210 Canal St
New York, NY 10013-4155
Registry dates
- Enumerated
- 2011-06-09
- Last updated
- 2012-10-17
Frequently asked questions
- What is Andy Wan's NPI number?
- Andy Wan's National Provider Identifier (NPI) is 1194019901, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andy Wan's specialty?
- Andy Wan is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Andy Wan located?
- Andy Wan's practice location on file with NPPES is 4422 Third Avenue, Bronx, NY 10457.
- What is Andy Wan's phone number?
- The practice phone number listed in the NPPES registry for Andy Wan is (718) 332-9888.
- Is Andy Wan's NPI active?
- Yes — Andy Wan's NPI (1194019901) is active in the NPPES registry as of the last update on 2012-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.