NPIMap

Organization Active NPI

Gregory Wu DMD PC

  • Dentist
  • Tewksbury, MA
National Provider Identifier
1871909291
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GREGORY WU DMD PC
Practice address
1215 Main St
Unit 109
Tewksbury, MA 01876-4724
Phone
(978) 863-0306
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Fran Maxner
Title
Director of Business Development
Phone
(508) 414-3181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1215 Main St
Unit 109
Tewksbury, MA 01876-4724

Mailing address

1215 Main St
Unit 109
Tewksbury, MA 01876-4724
Phone (978) 863-0306

Other names 1

  • Onsite Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1215 Main St
Ste 109
Tewksbury, MA 01876
Phone (508) 414-3181

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1871909291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 MAIN ST",
            "address_2": "UNIT 109",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764724",
            "telephone_number": "978-863-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 MAIN ST",
            "address_2": "UNIT 109",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764724",
            "telephone_number": "978-863-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY WU DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "MAXNER",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "508-414-3181"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onsite Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tewksbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.