Jerry Kai-Hua Wu, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

49707 Issued in CA

Practice address

5963 E Spring St
Long Beach, CA 90808-3752

Phone

(562) 421-8401

Fax

(562) 421-0523

NPI assigned

Dec 20, 2012

Last updated

Dec 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Brock Lorenz Dental Corporation

  • Dental Clinic/Center
  • Long Beach, CA
  • NPI 1871217349
  NPD (past)
• Stephen W. Clark, DDS Inc.

  dba Spring Dental Group

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1316301500
  NPD (past)

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1639415557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W CENTRAL AVE APT 912",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213369",
            "telephone_number": "909-496-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5963 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083752",
            "telephone_number": "562-421-8401",
            "fax_number": "562-421-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "JERRY",
        "middle_name": "KAI-HUA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beibei Julia Wu, L.AC.
• Bena Wu
• Jack C Wu, M.D.
• James Guolin Wu
• Jeffrey Wu, D.O.
• Jessica J Wu
• Joanna Wu
• Katherine Sy-Chu Wu, M.D
• Lihong Wu, M.D.
• Michael Wu, MD

• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.