Active NPI
Ben Wu, DDS, PHD
- Prosthodontics
- Cambridge, MA
National Provider Identifier
1104035963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN18627
- Practice address
- 245 First St Ste 17
Cambridge, MA 02142-1292 - Phone
- (617) 892-8266
- NPI assigned
- May 21, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DN18627 | MA | Primary |
Addresses
Primary practice location
245 First St Ste 17
Cambridge, MA 02142-1292
Mailing address
245 First St Ste 17
Cambridge, MA 02142-1292
Phone (617) 892-8266
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18627 | MA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1104035963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 FIRST ST STE 17",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421292",
"telephone_number": "617-892-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 FIRST ST STE 17",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421292",
"telephone_number": "617-892-8266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "BEN",
"name_prefix": "Dr.",
"credential": "DDS, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "DN18627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.