Individual provider Active NPI

Rosa G Wu, DMD

  • General Practice Dentistry
  • Hot Springs, AR
National Provider Identifier
1053842716
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4226 Issued in AR
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

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628000759 AR Order and Referring Only - DentistPractitioner - Dentist 1456620855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4226ARMDDentist

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

Verify at the official NPI Registry.