Organization Active NPI

Grace E Wu DDS PC

  • Dentist
  • Atlanta, GA
National Provider Identifier
1023204252
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GRACE E WU DDS PC
Practice address
587 Virginia Ave NE # 5
Atlanta, GA 30306-3695
Phone
(404) 389-0700
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Grace Wu
Title
Ceo
Phone
(404) 389-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

587 Virginia Ave NE # 5
Atlanta, GA 30306-3695

Mailing address

587 Virginia Ave NE # 5
Atlanta, GA 30306-3695

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1023204252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 VIRGINIA AVE NE # 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 VIRGINIA AVE NE # 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063695",
            "telephone_number": "404-389-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE E WU DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-389-0700"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.