Jerry K Wu DMD Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JERRY K WU DMD INC

Practice address

1254 Irvine Blvd Ste 160
Tustin, CA 92780-3573

Phone

(714) 828-0010

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jerry K Wu, DMD

Title

President

Phone

(714) 838-0010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark P. Miller, D.D.S.

  • Dentist
  • Tustin, CA
  • NPI 1053599415
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1841846292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 IRVINE BLVD STE 160",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803573",
            "telephone_number": "714-828-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 IRVINE BLVD STE 160",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803573",
            "telephone_number": "714-828-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY K WU DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-838-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxwell Jen, MD
• Nora M Jennings, MFT
• Jennifer Laura Jenrette, MSW
• Ha Ra Jeon, DDS
• Jera Wellness Acupuncture
• Jerry L. Morris, M.D., Inc.
• Jerry Lee Morris MD Inc
• Elisa Victoria Jiang, REGISTERED OTR
• Jillian Hynynen, Licensed Clinical Social Worker, Inc.
• Jeanette Jimenez

• Dentist in Tustin, CA
• Providers in Tustin, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.