NPIMap

Organization Active NPI

Alice Wu, D.D.S., P.a.

  • Periodontics
  • Raleigh, NC
National Provider Identifier
1508500489
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
ALICE WU, D.D.S., P.A.
Practice address
7901 Acc Blvd., Suite 100
Raleigh, NC 27617-8741
Phone
(919) 278-7298
NPI assigned
Apr 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Dr. Ping Seung Alice Wu, DDSNPI 1952650095
Title
President
Phone
(919) 360-0072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

7901 Acc Blvd., Suite 100
Raleigh, NC 27617-8741

Mailing address

615 Villa Grande Dr
Winterville, NC 28590-8072
Phone (919) 360-0072

National Provider Directory

National Provider Directory

Locations

7901 Acc Blvd
Ste 100
Raleigh, NC 27617
Phone (919) 278-7298

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1508500489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VILLA GRANDE DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908072",
            "telephone_number": "919-360-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 ACC BLVD., SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178741",
            "telephone_number": "919-278-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE WU, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "PING SEUNG ALICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-360-0072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.

Verify at the official NPI Registry.