Wenjing Luo, DMD/PHD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04695 Issued in NH

Practice address

1600 Woodbury Ave
Portsmouth, NH 03801-3250

Phone

(603) 431-1030

NPI assigned

Aug 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1407522121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PATRIOT WAY",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021766510",
            "telephone_number": "682-554-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WOODBURY AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013250",
            "telephone_number": "603-431-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Massachusetts Ave # 2",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "024205306",
            "country_code": "US",
            "telephone_number": "781-863-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUO",
        "first_name": "WENJING",
        "name_prefix": "Dr.",
        "credential": "DMD/PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lovich, D.C.
• Jodie Lee Lubarsky, MA
• Shareen Lucas, PMHNP
• Howard J Ludington III, DDS MSCD
• Daryl Vista Lumagui, IDC
• Carol Jean Luongo, RPH
• Stephen Lutz, MD
• Luxottica of America Inc.
• Elizabeth Jane Lynch, PMHNP-BC
• Renee Theroux Lynch, OD

• General Practice Dentistry in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.

Verify at the official NPI Registry.