NPIMap

Organization Active NPI

Dr Wen Wu DC Dom LLC

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1225320252
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1039 Issued in NM
Legal business name
DR WEN WU DC DOM LLC
Practice address
2709 Wyoming Blvd NE
Suite a
Albuquerque, NM 87111-4540
Phone
(505) 294-5486
Fax
(505) 294-3655
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. Wen C Wu, DC., DOM
Title
Owner
Phone
(505) 294-5486

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1039 NM Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 061 NM

Addresses

Primary practice location

2709 Wyoming Blvd NE
Suite a
Albuquerque, NM 87111-4540

Mailing address

2709 Wyoming Blvd NE
Suite a
Albuquerque, NM 87111-4540
Phone (505) 294-5486

National Provider Directory

National Provider Directory

Locations

2709 Wyoming Blvd NE
Ste A
Albuquerque, NM 87111
Phone (505) 294-5486

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1225320252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 WYOMING BLVD NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871114540",
            "telephone_number": "505-294-5486",
            "fax_number": "505-294-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 WYOMING BLVD NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871114540",
            "telephone_number": "505-294-5486",
            "fax_number": "505-294-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WEN WU DC DOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "WEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-294-5486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC.,  DOM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1039",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.