Active NPI
Nathan Wu, DDS
- Dentist
- Slidell, LA
National Provider Identifier
1285291492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6970
- Practice address
- 1301 Eastridge Dr
Slidell, LA 70458-3026 - Phone
- (985) 643-8800
- NPI assigned
- May 22, 2019
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6970 | LA | Primary |
Addresses
Primary practice location
1301 Eastridge Dr
Slidell, LA 70458-3026
Mailing address
1301 Eastridge Dr
Slidell, LA 70458-3026
Phone (985) 643-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190718003375 | LA | Order and Referring Only - Dentist | 5799011383 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1285291492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 EASTRIDGE DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583026",
"telephone_number": "985-643-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 EASTRIDGE DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583026",
"telephone_number": "985-643-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "NATHAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-22",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.