Individual provider Active NPI

Xiao Fu Wu, DMD., MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burlingame, CA
National Provider Identifier
1912075094
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
55747 Issued in CA
Practice address
1477 Floribunda Ave
#306
Burlingame, CA 94010-7516
Phone
(650) 548-1088
NPI assigned
Nov 30, 2006
Last updated
Jul 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 55747 CA Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 21749 MA

Addresses

Primary practice location

1477 Floribunda Ave
#306
Burlingame, CA 94010-7516

Mailing address

1477 Floribunda Ave
#306
Burlingame, CA 94010-7516
Phone (650) 548-1088

Other names 1

  • Michael Wu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
55747CAMDOrthodontics and Dentofacial Orthopedic Dentist
21749MAMDOrthodontics and Dentofacial Orthopedic Dentist

Interoperability endpoints

  • Direct secure messaging: xwu@direct.westerndental.com

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1912075094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 FLORIBUNDA AVE",
            "address_2": "#306",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940107516",
            "telephone_number": "650-548-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 FLORIBUNDA AVE",
            "address_2": "#306",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940107516",
            "telephone_number": "650-548-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "XIAO",
        "middle_name": "FU",
        "credential": "DMD., MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "55747",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "21749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "WU",
            "credential": "DMD., MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.