Individual provider Active NPI

Monica Wu, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1750793360
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63108 Issued in CA
Practice address
670 Riveroaks Parkway
Suite J
San Jose, CA 95134-9513
Phone
(408) 894-8140
NPI assigned
May 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63108 CA
General Practice Dentistry 1223G0001X 63108 CA Primary

Addresses

Primary practice location

670 Riveroaks Parkway
Suite J
San Jose, CA 95134-9513

Mailing address

1393 Cabrillo Ave
San Jose, CA 95132-2210
Phone (571) 242-5592

Other practice location 1

3720 N 1st St Ste C
San Jose, CA 95134-1717
Phone (088) 948-1404

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

LicenseStateTypeSpecialty
63108CAMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Joyce Lam Dba S.J. Dental Past Accepting new patients
Lai and Wu Dental Corp General Practice PastSince Nov 12, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1750793360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 CABRILLO AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322210",
            "telephone_number": "571-242-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 RIVEROAKS PARKWAY",
            "address_2": "SUITE J",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951349513",
            "telephone_number": "408-894-8140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 N 1st St Ste C",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951341717",
            "country_code": "US",
            "telephone_number": "088-948-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-30",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63108",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.