Active NPI
Smile for Life PLLC
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1619240256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D07763
- Legal business name
- SMILE FOR LIFE PLLC
- Practice address
- 10209 N 35TH Ave
Ste 129
Phoenix, AZ 85051-9589 - Phone
- (602) 789-1131
- Fax
- (602) 789-9387
- NPI assigned
- Feb 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chia Ying Wu, DMD
- Title
- Dentist/Owner
- Phone
- (623) 221-1346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D07763 | AZ | Primary |
Addresses
Primary practice location
10209 N 35TH Ave
Ste 129
Phoenix, AZ 85051-9589
Mailing address
10209 N 35TH Ave
Ste 129
Phoenix, AZ 85051-9589
Phone (602) 789-1131
Other names 1
- Smile For Life Dentistry
National Provider Directory
National Provider DirectoryLocations
10209 N 35th Ave
Ste 129
Phoenix, AZ 85051
Phone (602) 789-1131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462579200000",
"number": "1619240256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10209 N 35TH AVE",
"address_2": "STE 129",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850519589",
"telephone_number": "602-789-1131",
"fax_number": "602-789-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10209 N 35TH AVE",
"address_2": "STE 129",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850519589",
"telephone_number": "602-789-1131",
"fax_number": "602-789-9387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE FOR LIFE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-13",
"last_updated": "2016-05-07",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "CHIA",
"authorized_official_middle_name": "YING",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "623-221-1346",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D07763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smile For Life Dentistry",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.