NPIMap

Organization Active NPI

Lawrence Wu DMD, Inc

  • General Practice Dentistry
  • Antioch, CA
National Provider Identifier
1396997276
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51003 Issued in CA
Legal business name
LAWRENCE WU DMD, INC
Practice address
5157 Lone Tree Way
Antioch, CA 94531-8689
Phone
(925) 777-1719
Fax
(925) 777-0911
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Dr. Lawrence Wu, DMDNPI 1114036233
Title
Owner/Dentist
Phone
(925) 777-1719

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 51003 CA Primary

Addresses

Primary practice location

5157 Lone Tree Way
Antioch, CA 94531-8689

Mailing address

5157 Lone Tree Way
Antioch, CA 94531-8689
Phone (925) 777-1719

Other names 1

  • East Bay Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5157 Lone Tree Way
Antioch, CA 94531
Phone (925) 777-1719

Practitioners & affiliated clinicians

Practitioners 1

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": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1396997276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5157 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318689",
            "telephone_number": "925-777-1719",
            "fax_number": "925-777-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5157 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318689",
            "telephone_number": "925-777-1719",
            "fax_number": "925-777-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE WU DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "925-777-1719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.