Wade Su, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63145 Issued in CA

Practice address

18822 Norwalk Blvd
Artesia, CA 90701-5973

Phone

(562) 809-3899

Fax

(562) 865-1221

NPI assigned

Mar 27, 2014

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ming Hwa Su D.D.S, Inc

  • General Practice Dentistry
  • Artesia, CA
  • NPI 1821292921
  NPD (past)

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1902223969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18822 NORWALK BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015973",
            "telephone_number": "562-809-3899",
            "fax_number": "562-865-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18822 NORWALK BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015973",
            "telephone_number": "562-809-3899",
            "fax_number": "562-865-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel Ashley Stansell
• Starlife Holdings Inc.
• Stephen J. Curry a Professional Chiropractic Corp.
• Riley Stutz
• Ming Hwa Su
• Alexis Ruby Suayan, COTA/L
• Frank Brian Sue, O.D.
• Fadi Qayssar Sulioa Khoshnaw, DMD
• Sun Young Oh
• Wonsik Sung, D.C.

• General Practice Dentistry in Artesia, CA
• Providers in Artesia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.