Active NPI
Brittany Sharleen Watu, D.D.S.
- Dentist
- Hayward, CA
National Provider Identifier
1730797614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105040
- Practice address
- 1372 A St
Hayward, CA 94541-2927 - Phone
- (510) 314-0765
- NPI assigned
- Jul 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105040 | CA | Primary |
Addresses
Primary practice location
1372 A St
Hayward, CA 94541-2927
Mailing address
PO Box 2769
Corona, CA 92878-2769
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105040 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673654400000",
"number": "1730797614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2769",
"city": "CORONA",
"state": "CA",
"postal_code": "928782769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1372 A ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945412927",
"telephone_number": "510-314-0765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATU",
"first_name": "BRITTANY",
"middle_name": "SHARLEEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2023-01-14",
"certification_date": "2023-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.