Huayang John Wu, DDS, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54040 Issued in CA

Practice address

1702 Miramonte Ave Ste B
Mountain View, CA 94040-3773

Phone

(650) 718-5086

Fax

(650) 718-5088

NPI assigned

Aug 18, 2006

Last updated

Dec 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Huayang Wu Professional name

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

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Huayang John Wu, DDS, Inc.

  dba Wu Dental

  • Dental Clinic/Center
  • Mountain View, CA
  • NPI 1710573050
  NPD Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1689788374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 MIRAMONTE AVE STE B",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403773",
            "telephone_number": "650-718-5086",
            "fax_number": "650-718-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 MIRAMONTE AVE STE B",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403773",
            "telephone_number": "650-718-5086",
            "fax_number": "650-718-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "HUAYANG",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "54040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUAYANG",
            "last_name": "WU",
            "prefix": "DR.",
            "credential": "DDS, MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chien Chih Wu
• Crystal Kayi Wu, MD
• Daniel Wu, RN
• Guohua Wu
• Hanhsing Irene Wu, MD
• Mengya Wu, MD
• Timothy Chenghsien Wu, D.M.D.
• Veronica Wu
• Ying Wu, MD
• Yueru Wu, LAC

• General Practice Dentistry in Mountain View, CA
• Providers in Mountain View, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; 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.