Vanessa Wenpin Ku, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

60262 Issued in CA

Practice address

1023 Sunset Blvd
#D
Arcadia, CA 91007-7257

Phone

(626) 807-1917

NPI assigned

May 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: wku@direct.westerndental.com

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1679866628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 SUNSET BLVD",
            "address_2": "#D",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077257",
            "telephone_number": "626-807-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 SUNSET BLVD",
            "address_2": "#D",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077257",
            "telephone_number": "626-807-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KU",
        "first_name": "VANESSA",
        "middle_name": "WENPIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "60262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prema Kothandaraman, M.D.
• Krista Care LLC
• Krista Ride LLC
• Kronson Medical Corporation
• Jeffrey Warren Kronson, MD
• Kuancheng Chen MD Corp
• Brenda Xiu Kuang Fang, TECHNICIAN
• Kuldip Gill, MD, Inc
• Michael Lavern Kunch, LCSW
• Brian Yo-Ming Kuo, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.