Individual provider Active NPI

Chia Ying Wu, DMD

  • Dentist
  • Urbandale, IA
National Provider Identifier
1659536282
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS-09721 Issued in IA
Practice address
8078 Douglas Ave
Urbandale, IA 50322-2450
Phone
(515) 207-4388
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054176 NY
Dentist 122300000X DDS-09721 IA Primary
Dentist 122300000X D7763 AZ
Dentist 122300000X 57263 CA

Addresses

Primary practice location

8078 Douglas Ave
Urbandale, IA 50322-2450

Mailing address

1441 Dover Bay Dr
Clive, IA 50325-8324
Phone (623) 221-1346

Other practice location 1

7506 Hickman Rd
Des Moines, IA 50324-4621
Phone (515) 276-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20260626003915 NV Practitioner - Dentist 8123341880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Temple University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5701 W Charleston Blvd
Suite 206
Las Vegas, NV 89146-1216

6313 W Crestfield Ave
Las Vegas, NV 89108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7763AZMDDentist
DDS-09721IAMDDentist
054176NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Better Arizona, PLLC Dentist CurrentSince Mar 22, 2020 Accepting new patients

Locations

10209 N 35th Ave
Ste 129
Phoenix, AZ 85051
Phone (602) 789-1131

8078 Douglas Ave
Urbandale, IA 50322
Phone (515) 207-4388

Organizations & group practices 2

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1659536282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 DOVER BAY DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258324",
            "telephone_number": "623-221-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8078 DOUGLAS AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222450",
            "telephone_number": "515-207-4388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7506 Hickman Rd",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503244621",
            "country_code": "US",
            "telephone_number": "515-276-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "CHIA",
        "middle_name": "YING",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054176",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09721",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7763",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.