Organization Active NPI

Dr Wenbo Lu DDS Professional Dental Corporation

  • General Practice Dentistry
  • Visalia, CA
National Provider Identifier
1609523489
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR WENBO LU DDS PROFESSIONAL DENTAL CORPORATION
Practice address
301 N Stevenson St
Visalia, CA 93291-6021
Phone
(626) 695-7448
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Ms. Cecillia Tu
Title
Manager
Phone
(626) 695-7448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

301 N Stevenson St
Visalia, CA 93291-6021

Mailing address

4839 N Hulbert Ave
Fresno, CA 93705-0210
Phone (626) 695-7448

National Provider Directory

National Provider Directory

Locations

301 N Stevenson St
Visalia, CA 93291
Phone (559) 733-2272

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": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1609523489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4839 N HULBERT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050210",
            "telephone_number": "626-695-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N STEVENSON ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916021",
            "telephone_number": "626-695-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WENBO LU DDS PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "TU",
        "authorized_official_first_name": "CECILLIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-695-7448",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.