Eda Wu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.027710 Issued in OH

Practice address

17117 Detroit Ave
Cleveland, OH 44107-3622

Phone

(216) 221-0300

NPI assigned

Apr 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Care Alliance

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1396874426
  NPD (past)
• Lakewood Dental Group, Jeffrey S Rosenthal DDS Inc

  • General Practice Dentistry
  • Lakewood, OH
  • NPI 1902327315
  NPD (past)

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1942942040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17117 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441073622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17117 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441073622",
            "telephone_number": "216-221-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "EDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027710",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "133160509923",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wu Cares
• Anna Wu
• Carleton Wu, MD
• Charles J Wu, MD
• Christine Jiang Wu
• Fangbai Wu, MD
• Gregory Wu, MD
• Janet Wu
• Jenny Wu, M.D.
• Kevin Gar Wu, MD

• General Practice Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; 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.