Zi Jian Wu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.031156 Issued in IL

Practice address

221 N Weber Rd
Bolingbrook, IL 60490-1508

Phone

(312) 841-6139

NPI assigned

Jun 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maple Park Dental Care, P.C.

  • General Practice Dentistry
  • Naperville, IL
  • NPI 1487714671
  NPD (past)
• North Decatur Dentistry, PC

  dba North Decatur Dentistry

  • General Practice Dentistry
  • Decatur, GA
  • NPI 1154868917
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1639609340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 BROOKSEDGE AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648337",
            "telephone_number": "312-841-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901508",
            "telephone_number": "312-841-6139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3603 Brooksedge Ave",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605648337",
            "country_code": "US",
            "telephone_number": "312-841-6139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "ZI JIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015511",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markesha Woodson
• Elizabeth Woolf, MA
• Richard Thomas Wright, ATC
• Cheryl Wroblewski, LCSW
• WSKC Dialysis Services, Inc. (Fresenius Medical Care Bolingbrook)
• Stephan G Wyers, MD
• Cassidy Wysocki, PTA
• Y E Akl MD DC
• Jonathan Yaden, DPT
• Ravi K. Yalamanchi, M.D.

• General Practice Dentistry in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.