Peychi Wu Anderson, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

26203 Issued in TX

Practice address

10003 NW Military Hwy Ste 3201
San Antonio, TX 78231-1892

Phone

(210) 417-4181

Fax

(210) 504-4969

NPI assigned

Sep 9, 2005

Sex

Female

Sole proprietor

Yes

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.

• Jetty United PLLC

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1225797467
  NPD
• RWPK PLLC

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1356762223
  NPD (past)
• Edwin Zaghi DMD PC

  • Pediatric Dentistry
  • Columbia, MD
  • NPI 1659548881
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

• Dr. Peychi Patricia Wu Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2022.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1790779304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10798 HICKORY RIDGE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443646",
            "telephone_number": "410-992-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10003 NW MILITARY HWY STE 3201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311892",
            "telephone_number": "210-417-4181",
            "fax_number": "210-504-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PEYCHI",
        "middle_name": "WU",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "26203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2815656",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEYCHI",
            "last_name": "WU",
            "middle_name": "PATRICIA",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nikki Anderson
• Norma J Anderson, D.O.
• Patricia Jo Anderson, OTR
• Penny Anderson
• Peter L Anderson
• Philip John Anderson, MD
• Raymond Charles Anderson
• Richard P Anderson, D.D.S.
• Robyn Anderson, NP
• Ronda Marie Anderson, LCSW

• All providers in San Antonio, TX
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.