Individual provider Active NPI

Edis Wu, D.D.S.

  • Dentist
  • Leawood, KS
National Provider Identifier
1437386372
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60650 Issued in KS
Practice address
4839 W 135TH St
Leawood, KS 66224-8901
Phone
(913) 681-5500
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60650 KS Primary
Dentist 122300000X 2009013245 MO

Addresses

Primary practice location

4839 W 135TH St
Leawood, KS 66224-8901

Mailing address

4839 W 135TH St
Leawood, KS 66224-8901
Phone (913) 681-5500

Other practice location 1

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone (816) 923-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110915000324 MO Practitioner - DentistPractitioner - Oral Surgery 6204007628 Reassigns benefits to 1 organization
I20220323000649 KS Practitioner - Dentist 6204007628 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services CurrentSince Mar 14, 2022 Accepting new patients
Swope Health Services CurrentSince Mar 14, 2022 Accepting new patients
Swope Health Services Current Accepting new patients
Swope Health Services CurrentSince Mar 14, 2022 Accepting new patients
Swope Health Services Current Accepting new patients
Leawood Family Dentistry LLC Past Accepting new patients

Locations

21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCJABA

Organizations & group practices 6

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1437386372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4839 W 135TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248901",
            "telephone_number": "913-681-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4839 W 135TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248901",
            "telephone_number": "913-681-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641302807",
            "country_code": "US",
            "telephone_number": "816-923-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "EDIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60650",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009013245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.