Active NPI
Sen-Sen Wu, DMD
- General Practice Dentistry
- Holyoke, MA
National Provider Identifier
1326078734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17650
- Practice address
- 50 Holyoke St
Holyoke, MA 01041-1608 - Phone
- (413) 538-7400
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17650 | MA | Primary |
Addresses
Primary practice location
50 Holyoke St
Holyoke, MA 01041-1608
Mailing address
1109 Converse St
Longmeadow, MA 01106-1720
Phone (413) 567-7058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0272876 | Medicaid | MA |
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 |
|---|---|---|---|
| 17650 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330128000000",
"number": "1326078734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 CONVERSE ST",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061720",
"telephone_number": "413-567-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 HOLYOKE ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010411608",
"telephone_number": "413-538-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "SEN-SEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2012-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "17650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0272876",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.