Individual provider Active NPI

Yao Nan Wu, D.C., P.C.

  • Chiropractor
  • Doraville, GA
National Provider Identifier
1689898496
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
INV-12-06-5842 Issued in GA
Practice address
5095 Buford Hwy NE Ste G
Doraville, GA 30340-1119
Phone
(770) 457-2833
NPI assigned
Apr 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X INV-12-06-5842 GA Primary

Addresses

Primary practice location

5095 Buford Hwy NE Ste G
Doraville, GA 30340-1119

Mailing address

5095 Buford Hwy NE Ste G
Doraville, GA 30340-1119
Phone (770) 457-2833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689898496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 BUFORD HWY NE STE G",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401119",
            "telephone_number": "770-457-2833",
            "fax_number": "770-457-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 BUFORD HWY NE STE G",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401119",
            "telephone_number": "770-457-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "YAO",
        "middle_name": "NAN",
        "name_prefix": "Dr.",
        "credential": "D.C., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "INV-12-06-5842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.