Individual provider Active NPI

Richard Yo Yuan Wu, DDS

  • Dentist
  • Seatac, WA
National Provider Identifier
1679816417
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7714 Issued in WA
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

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2071817MedicaidWA
002202127MedicaidNV

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
I20260408003606 WA Practitioner - Dentist 9638455298 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
3468NVMDGeneral Practice Dentistry
7714WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Community Health Services Past Accepting new patients
Lewis County Community Health Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.