Active NPI
Jenny Tu, DDS
- Pediatric Dentistry
- Morrisville, NC
National Provider Identifier
1265695597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8908
- Practice address
- 3735 Davis Dr Ste 125
Morrisville, NC 27560-8907 - Phone
- (919) 439-9998
- Fax
- (919) 439-6299
- NPI assigned
- Jul 7, 2008
- Last updated
- Apr 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 049006 | NY | |
| Pediatric Dentistry | 1223P0221X | 8908 | NC | Primary |
Addresses
Primary practice location
3735 Davis Dr Ste 125
Morrisville, NC 27560-8907
Mailing address
221 Creststone Dr
Cary, NC 27519-7707
Phone (646) 345-1164
Other practice location 1
3434 Kildaire Farm Rd Ste 138
Cary, NC 27518-2277
Phone (919) 362-3862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265695597 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049006 | NY | MD | Pharmacist |
| 8908 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geeta Bhat DDS PA | Past | Accepting new patients | |
| Jenny Tu, DDS | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Cary, NC
- NPI 1063692812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1265695597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 CRESTSTONE DR",
"city": "CARY",
"state": "NC",
"postal_code": "275197707",
"telephone_number": "646-345-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3735 DAVIS DR STE 125",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608907",
"telephone_number": "919-439-9998",
"fax_number": "919-439-6299"
}
],
"practiceLocations": [
{
"address_1": "3434 Kildaire Farm Rd Ste 138",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275182277",
"country_code": "US",
"telephone_number": "919-362-3862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TU",
"first_name": "JENNY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "049006",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "8908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265695597",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morrisville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.