Active NPI
Richard Yo Yuan Wu, DDS
- Dentist
- Seatac, WA
National Provider Identifier
1679816417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7714
- Practice address
- 4040 S 188TH St Ste 201
Seatac, WA 98188-5070 - Phone
- (206) 439-2149
- Fax
- (206) 277-7202
- NPI assigned
- Mar 29, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3468 | NV | |
| General Practice Dentistry | 1223G0001X | 7714 | WA | |
| Dentist | 122300000X | 7714 | WA | Primary |
Addresses
Primary practice location
4040 S 188TH St Ste 201
Seatac, WA 98188-5070
Mailing address
955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311
Other practice location 1
2690 NE Kresky Ave
Chehalis, WA 98532-2412
Phone (360) 330-9595
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2071817 | Medicaid | WA | |
| 002202127 | Medicaid | NV |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Oklahoma College of Dentistry, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
955 Powell Ave SW
Renton, WA 98057-2908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3468 | NV | MD | General Practice Dentistry |
| 7714 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Community Health Services | Past | Accepting new patients | |
| Lewis County Community Health Services | Past | Accepting new patients |
Interoperability endpoints
- richard.wu.p1@direct.valleyviewhc.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Kent, WA
- NPI 1831199454
-
- Federally Qualified Health Center (FQHC)
- Chehalis, WA
- NPI 1134164692
-
- Federally Qualified Health Center (FQHC)
- Raymond, WA
- NPI 1205196540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1679816417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 POWELL AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572908",
"telephone_number": "425-277-1311",
"fax_number": "425-277-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 S 188TH ST STE 201",
"city": "SEATAC",
"state": "WA",
"postal_code": "981885070",
"telephone_number": "206-439-2149",
"fax_number": "206-277-7202"
}
],
"practiceLocations": [
{
"address_1": "2690 NE Kresky Ave",
"address_purpose": "LOCATION",
"city": "Chehalis",
"state": "WA",
"postal_code": "985322412",
"country_code": "US",
"telephone_number": "360-330-9595",
"fax_number": "360-330-9580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WU",
"first_name": "RICHARD",
"middle_name": "YO YUAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-29",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "3468",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "7714",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "7714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2071817",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002202127",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seatac, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.