Individual provider Active NPI

Kenny Y Wu, DDS

  • General Practice Dentistry
  • Cupertino, CA
National Provider Identifier
1780886911
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50020 Issued in CA
Practice address
20395 Pacifica Dr
Ste 111
Cupertino, CA 95014-3016
Phone
(626) 922-6727
NPI assigned
Jun 1, 2007
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50020 CA Primary

Addresses

Primary practice location

20395 Pacifica Dr
Ste 111
Cupertino, CA 95014-3016

Mailing address

20395 Pacifica Dr Ste 101
Cupertino, CA 95014-3016
Phone (408) 446-0321

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
50020CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenny Y. Wu DDS, Inc. CurrentSince Feb 9, 2025 Accepting new patients

Locations

20395 Pacifica Dr
Ste 101
Cupertino, CA 95014
Phone (408) 255-0141

20395 Pacifica Dr
Ste 111
Cupertino, CA 95014
Phone (626) 922-6727

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1780886911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20395 PACIFICA DR STE 101",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143016",
            "telephone_number": "408-446-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20395 PACIFICA DR",
            "address_2": "STE 111",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143016",
            "telephone_number": "626-922-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "KENNY",
        "middle_name": "Y",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.