Organization Active NPI

Sheena Phan-Wu D.D.S., Inc.

  • Dental Clinic/Center
  • San Mateo, CA
National Provider Identifier
1326775339
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SHEENA PHAN-WU D.D.S., INC.
Practice address
150 N San Mateo Dr
San Mateo, CA 94401-2761
Phone
(650) 345-7981
NPI assigned
Aug 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Dr. Sheena Phan-Wu, DDSNPI 1235578386
Title
President
Phone
(650) 345-7981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

150 N San Mateo Dr
San Mateo, CA 94401-2761

Mailing address

150 N San Mateo Dr
San Mateo, CA 94401-2761
Phone (650) 345-7981

Other names 1

  • San Mateo Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

150 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 345-7981

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1326775339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012761",
            "telephone_number": "650-345-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012761",
            "telephone_number": "650-345-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEENA PHAN-WU D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "PHAN-WU",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-345-7981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Mateo Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.