Active NPI
Rosa G Wu, DMD
- General Practice Dentistry
- Hot Springs, AR
National Provider Identifier
1053842716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4226
- Practice address
- 4403 Central Ave
Hot Springs, AR 71913-7253 - Phone
- (501) 270-7133
- NPI assigned
- Mar 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4226 | AR | Primary |
Addresses
Primary practice location
4403 Central Ave
Hot Springs, AR 71913-7253
Mailing address
314 S University Ave Apt 1315
Little Rock, AR 72205-5258
Phone (407) 965-6676
Other practice location 1
301 West Markham Street
Slot number 624
Little Rock, AR 72205-7199
Phone (501) 364-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170628000759 | AR | Order and Referring Only - Dentist | 1456620855 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4226 | AR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1053842716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 S UNIVERSITY AVE APT 1315",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055258",
"telephone_number": "407-965-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 CENTRAL AVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719137253",
"telephone_number": "501-270-7133"
}
],
"practiceLocations": [
{
"address_1": "301 West Markham Street",
"address_2": "Slot number 624",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057199",
"country_code": "US",
"telephone_number": "501-364-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WU",
"first_name": "ROSA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.