Steven Robert Wynn, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

34447 Issued in CA

Practice address

1901 Westcliff Dr Ste 1
Newport Beach, CA 92660-5505

Phone

(949) 642-2626

Fax

(949) 642-2762

NPI assigned

Feb 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1033387485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WESTCLIFF DR STE 1",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605505",
            "telephone_number": "949-642-2626",
            "fax_number": "949-642-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WESTCLIFF DR STE 1",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605505",
            "telephone_number": "949-642-2626",
            "fax_number": "949-642-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "34447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Wu
• Jean Chin Wu, D.D.S.
• Kevin Julius Wu, DO, MBA
• Minxiu Wu, PHD
• Yuen Wu, PSYD
• Jane J Xenos, DO
• Aileen Xu, FNP
• Ann Xu
• Lei Xu
• Lisa Yun Xu, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.