Individual provider Active NPI

Windsor Wen-She Wu, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1437214178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033002 Issued in CA
Practice address
100 Oconnor Dr
Ste 8a
San Jose, CA 95128-1647
Phone
(408) 295-2555
Fax
(408) 295-2139
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 033002 CA Primary

Addresses

Primary practice location

100 Oconnor Dr
Ste 8a
San Jose, CA 95128-1647

Mailing address

100 Oconnor Dr
Ste 8a
San Jose, CA 95128-1647
Phone (408) 295-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160706002710 CA Order and Referring Only - DentistPractitioner - Dentist 8022300318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33002CAMDClinical Social Worker
033002CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437214178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OCONNOR DR",
            "address_2": "STE 8A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281647",
            "telephone_number": "408-295-2555",
            "fax_number": "408-295-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OCONNOR DR",
            "address_2": "STE 8A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281647",
            "telephone_number": "408-295-2555",
            "fax_number": "408-295-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "WINDSOR",
        "middle_name": "WEN-SHE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "033002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.