Individual provider Active NPI

Emily Wen-Hui Wu, DMD

  • Dentist
  • San Diego, CA
National Provider Identifier
1396363362
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS106087 Issued in CA
Practice address
4142 Adams Ave Ste 104
San Diego, CA 92116-2594
Phone
(619) 326-0157
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS106087 CA Primary

Addresses

Primary practice location

4142 Adams Ave Ste 104
San Diego, CA 92116-2594

Mailing address

4142 Adams Ave Ste 104
San Diego, CA 92116-2594
Phone (619) 326-0157

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kensingtondentalgroup@smilegeneration.com

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

LicenseStateTypeSpecialty
DDS106087CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Le and Pham Dental Corporation General Practice PastSince Jul 9, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1396363362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 ADAMS AVE STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162594",
            "telephone_number": "619-326-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 ADAMS AVE STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162594",
            "telephone_number": "619-326-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "EMILY",
        "middle_name": "WEN-HUI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS106087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kensingtondentalgroup@smilegeneration.com",
            "affiliation": "N",
            "address_1": "4142 Adams Ave Ste 104",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921162594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.