Active NPI
Ying-Lien Wu, DDS,MS,PHD
- Periodontics
- Minneapolis, MN
National Provider Identifier
1972770006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D12285
- Practice address
- 150 S 5TH St Ste 1475
Minneapolis, MN 55402-4212 - Phone
- (612) 332-1255
- NPI assigned
- May 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D12285 | MN | Primary |
Addresses
Primary practice location
150 S 5TH St Ste 1475
Minneapolis, MN 55402-4212
Mailing address
6730 Troy LN N
Maple Grove, MN 55311-2311
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D12285 | MN | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minneapolis Dental | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Minneapolis, MN
- NPI 1033351457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1972770006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6730 TROY LN N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553112311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S 5TH ST STE 1475",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554024212",
"telephone_number": "612-332-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "YING-LIEN",
"credential": "DDS,MS,PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-08",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MN",
"license": "D12285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.