Everett Wu, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30022836 Issued in OH

Practice address

1600 E Turkeyfoot Lake Rd
Akron, OH 44312-5365

Phone

(330) 253-3198

Fax

(330) 253-9812

NPI assigned

Jul 10, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1871756775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E TURKEYFOOT LAKE RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125365",
            "telephone_number": "330-253-3198",
            "fax_number": "330-253-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E TURKEYFOOT LAKE RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125365",
            "telephone_number": "330-253-3198",
            "fax_number": "330-253-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30022836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Y Wright
• Zuri Wright
• Edward Wristen, CDCA
• Shelby Erin Wroblewski, CNP
• WTF Inc
• Gavin Wu, MD
• Ingrid Jingnan Wu, M.D.
• Nicholas Wu, MD
• Ying-Teh Wu, MD
• Kathryn Susan Wurtz, PSY.D.

• Periodontics in Akron, OH
• Providers in Akron, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.