Elaine Wu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1858598 Issued in MA

Practice address

1201 Main St
Tewksbury, MA 01876-4774

Phone

(978) 451-1500

NPI assigned

Feb 29, 2020

Last updated

Feb 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Renew Dental P C

  • Oral and Maxillofacial Surgery (Dentist)
  • Tewksbury, MA
  • NPI 1407454523
  NPD

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1417581323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764774",
            "telephone_number": "978-451-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764774",
            "telephone_number": "978-451-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-29",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0442000364",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Wing, LICSW
• Priscilla Pauline Winn, MS,RD,LDN
• Ernest Raymond Witts Jr., RPH
• Peter Whitney Wolff, M.D.
• Kathryn Wolman, MS, CCC-SLP
• James J Wu, DDS
• Jared Wydysh, D.P.T.
• Ashley Wyshak
• Christina Yeadon
• Mary M Zelten, OTRL

• General Practice Dentistry in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.