Individual provider Active NPI

Nita Chainani-Wu, DMD, PHD

  • Dentist
  • Mountain View, CA
National Provider Identifier
1679692198
Registry record updated Jun 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45056 Issued in CA
Practice address
100 W El Camino Real
76
Mountain View, CA 94040-2664
Phone
(650) 968-3888
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral Medicine Dentistry 125Q00000X 45056 CA
Dentist 122300000X 45056 CA Primary

Addresses

Primary practice location

100 W El Camino Real
76
Mountain View, CA 94040-2664

Mailing address

100 W El Camino Real
76
Mountain View, CA 94040-2664
Phone (415) 577-5647

Other names 1

  • Nita Chainani Wu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 1, 2012 through Dec 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623456000000",
    "number": "1679692198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W EL CAMINO REAL",
            "address_2": "76",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402664",
            "telephone_number": "415-577-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W EL CAMINO REAL",
            "address_2": "76",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402664",
            "telephone_number": "650-968-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAINANI-WU",
        "first_name": "NITA",
        "credential": "DMD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "CA",
            "license": "45056",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NITA",
            "last_name": "WU",
            "middle_name": "CHAINANI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.