Active NPI
Xixi Wu, BDS,MS,PH.D.
- Periodontics
- Oklahoma City, OK
National Provider Identifier
1063021343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 80-PERIODONTICS
- Practice address
- 1201 N Stonewall Ave # 524D
Oklahoma City, OK 73117-1214 - Phone
- (405) 259-6048
- NPI assigned
- Jul 23, 2020
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 80-PERIODONTICS | OK | Primary |
Addresses
Primary practice location
1201 N Stonewall Ave # 524D
Oklahoma City, OK 73117-1214
Mailing address
1201 N Stonewall Ave # 524D
Oklahoma City, OK 73117-1214
Phone (405) 259-6048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80-PERIODONTICS | OK | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1063021343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N STONEWALL AVE # 524D",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731171214",
"telephone_number": "405-259-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N STONEWALL AVE # 524D",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731171214",
"telephone_number": "405-259-6048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "XIXI",
"name_prefix": "Dr.",
"credential": "BDS,MS,PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OK",
"license": "80-PERIODONTICS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.