Active NPI
Xiao Yang Meng, RDH
- Dental Hygienist
- Portland, OR
National Provider Identifier
1013391895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H6981
- Practice address
- 16611 SE Main St
Portland, OR 97233-4046 - Phone
- (971) 254-5655
- NPI assigned
- Jul 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H6981 | OR | Primary |
Addresses
Primary practice location
16611 SE Main St
Portland, OR 97233-4046
Mailing address
16611 SE Main St
Portland, OR 97233-4046
Phone (971) 254-5655
Other names 1
- Sonny Meng
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6981 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1013391895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16611 SE MAIN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972334046",
"telephone_number": "971-254-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16611 SE MAIN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972334046",
"telephone_number": "971-254-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENG",
"first_name": "XIAO",
"middle_name": "YANG",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-12",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H6981",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1994 SW Thomas Pl",
"city": "Gresham",
"state": "OR",
"country_code": "US",
"postal_code": "970806421",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SONNY",
"last_name": "MENG",
"credential": "RDH",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.