Active NPI
Deanna Wu
- Dentist
- Los Altos, CA
National Provider Identifier
1508162488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49708
- Practice address
- 350 2ND St
Ste 3
Los Altos, CA 94022 - Phone
- (650) 948-0200
- NPI assigned
- Feb 9, 2011
- Last updated
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49708 | CA | Primary |
Addresses
Primary practice location
350 2ND St
Ste 3
Los Altos, CA 94022
Mailing address
350 2ND St
Ste 3
Los Altos, CA 94022
Phone (650) 948-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henderson & Henderson -Los Altos Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Pinnacle Dental
- General Practice Dentistry
- Los Altos, CA
- NPI 1831586684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1508162488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 2ND ST",
"address_2": "STE 3",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "94022",
"telephone_number": "650-948-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 2ND ST",
"address_2": "STE 3",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "94022",
"telephone_number": "650-948-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "DEANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-09",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.