Wendy Lu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42062 Issued in CA

Practice address

1062 S de Anza Blvd Ste C103
San Jose, CA 95129-3556

Phone

(408) 255-9666

Fax

(408) 255-4524

NPI assigned

Apr 1, 2013

Last updated

Apr 1, 2013By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lifetime Dental Care

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1740201896
  NPD (past) Authorized official

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1457694242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 S DE ANZA BLVD STE C103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293556",
            "telephone_number": "408-255-9666",
            "fax_number": "408-255-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 S DE ANZA BLVD STE C103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293556",
            "telephone_number": "408-255-9666",
            "fax_number": "408-255-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Yusong Lu, ED.S.
• Mike Weiting Lu, D.D.S
• Pauline Lu, D.D.S.
• Pei-Hua (Peggy) Lu, M.D.
• Timothy Lu
• Yanyan Lu, LMFT
• Yanzi Lu
• Yilin Lu, MSW
• Yung Shih Lu
• Kiana Lualhati

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.