Organization Active NPI

Lawrence Wu Professional Dental Corp.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1831586197
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51158 Issued in CA
Legal business name
LAWRENCE WU PROFESSIONAL DENTAL CORP.
Practice address
1319 Blossom Hill Rd
San Jose, CA 95118-3801
Phone
(408) 266-2800
Fax
(408) 266-5050
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Dr. Lawrence Wu, DDS
Title
President
Phone
(408) 266-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 51158 CA Primary

Addresses

Primary practice location

1319 Blossom Hill Rd
San Jose, CA 95118-3801

Mailing address

1319 Blossom Hill Rd
San Jose, CA 95118-3801
Phone (408) 266-2800

National Provider Directory

National Provider Directory

Locations

1319 Blossom Hill Rd
San Jose, CA 95118
Phone (408) 266-2800

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1831586197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 BLOSSOM HILL RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183801",
            "telephone_number": "408-266-2800",
            "fax_number": "408-266-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 BLOSSOM HILL RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183801",
            "telephone_number": "408-266-2800",
            "fax_number": "408-266-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE WU PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-266-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51158",
            "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 Apr 23, 2015; 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.