Individual provider Active NPI

Grace Wenchen Hsiao Wu, DMD

  • Endodontics
  • Lynnwood, WA
National Provider Identifier
1659395705
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
60017072 Issued in WA
Practice address
19020 33Rd Ave W Ste 320
Lynnwood, WA 98036-4748
Phone
(425) 771-4427
Fax
(425) 771-0086
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 60017072 WA Primary

Addresses

Primary practice location

19020 33Rd Ave W Ste 320
Lynnwood, WA 98036-4748

Mailing address

19020 33Rd Ave W Ste 320
Lynnwood, WA 98036-4748
Phone (425) 771-4427

Other names 1

  • Grace Wenchen Hsiao Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20140929002231 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2264443894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60017072WAMDEndodontist
19758MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Hsiao Wu DMD, MPH, PLLC Endodontics CurrentSince Jan 17, 2022 Accepting new patients

Locations

19020 33rd Ave W
Ste 320
Lynnwood, WA 98036
Phone (425) 771-4427

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1659395705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 320",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-771-4427",
            "fax_number": "425-771-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 320",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-771-4427",
            "fax_number": "425-771-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "GRACE",
        "middle_name": "WENCHEN HSIAO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-12-06",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "60017072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "HSIAO",
            "middle_name": "WENCHEN",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.