Active NPI
Jose Andres Wu, DENTIST
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1740544766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28172
- Practice address
- 4407 West Fuqua Street #R
Houston, TX 77045 - Phone
- (713) 434-7333
- Fax
- (713) 434-7336
- NPI assigned
- Jun 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61379 | CA | |
| General Practice Dentistry | 1223G0001X | 28172 | TX | Primary |
Addresses
Primary practice location
4407 West Fuqua Street #R
Houston, TX 77045
Mailing address
5218 Birch Falls LN
Sugar Land, TX 77479
Phone (909) 556-9805
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 |
|---|---|---|---|
| 61379 | CA | MD | Dentist |
| 28172 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brident DDS PC | Dentist | Current | Accepting new patients |
| Lee&Lee Hiram Clark PLLC | Dentist | Past | Accepting new patients |
Locations
4407 W Fuqua St
Ste R
Houston, TX 77045
Phone (713) 434-7333
Organizations & group practices 2
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.
-
- Dentist
- Houston, TX
- NPI 1922779156
-
- Dentist
- Houston, TX
- NPI 1316253776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1740544766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5218 BIRCH FALLS LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77479",
"telephone_number": "909-556-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 WEST FUQUA STREET #R",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77045",
"telephone_number": "713-434-7333",
"fax_number": "713-434-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "JOSE",
"middle_name": "ANDRES",
"name_prefix": "Dr.",
"credential": "DENTIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-25",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "61379",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "28172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.