NPIMap

Individual provider Active NPI

Wenbo Lu, DDS

  • Dentist
  • Visalia, CA
National Provider Identifier
1891964565
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56784 Issued in CA
Practice address
301 N Stevenson St
Visalia, CA 93291-6021
Phone
(559) 733-2272
Fax
(597) 330-1855
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56784 CA Primary

Addresses

Primary practice location

301 N Stevenson St
Visalia, CA 93291-6021

Mailing address

301 N Stevenson St
Visalia, CA 93291-6021
Phone (559) 733-2272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605001486 TX Practitioner - Dentist 6507375938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56784CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Wenbo Lu DDS Professional Dental Corporation CurrentSince Mar 26, 2023 Accepting new patients
M a C T Health Board Incorporated CurrentSince Mar 30, 2025 Accepting new patients
M a C T Health Board, Incorporated Dentist Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board, Incorporated Past Accepting new patients
Chin-Charng Lin, DDS Inc. Past Accepting new patients
M a C T Health Board, Incorporated Past Accepting new patients
Greenleaf Dental Spa Dentist Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients

Locations

19177 State Highway 120
Groveland, CA 95321
Phone (209) 754-6262

12150 New York Ranch Rd
Jackson, CA 95642
Phone (209) 223-8460

13975 Mono Way
Ste I
Sonora, CA 95370
Phone (209) 533-9603

301 N Stevenson St
Visalia, CA 93291
Phone (559) 733-2272

Interoperability endpoints

  • Direct secure messaging: wenbo.lu.p1@direct.macthealth.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1891964565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N STEVENSON ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916021",
            "telephone_number": "559-733-2272",
            "fax_number": "559-733-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N STEVENSON ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916021",
            "telephone_number": "559-733-2272",
            "fax_number": "597-330-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "WENBO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.