Individual provider Active NPI

Clare Chengqin Ma, DMD

  • General Practice Dentistry
  • Normandy Park, WA
National Provider Identifier
1023679339
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04501 Issued in NH
Practice address
19703 1St Ave S
Normandy Park, WA 98148-2401
Phone
(206) 466-3808
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 04501 NH Primary

Addresses

Primary practice location

19703 1St Ave S
Normandy Park, WA 98148-2401

Mailing address

9 Apache Ave
Andover, MA 01810-4738
Phone (978) 886-3170

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

LicenseStateTypeSpecialty
04501NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Xue and Ma, DMD, PLLC CurrentSince May 4, 2025 Accepting new patients
Jebediah S Christy DDS - Keene PC General Practice Past Accepting new patients

Locations

19703 1st Ave S
Normandy Park, WA 98148
Phone (206) 466-3808

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1023679339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 APACHE AVE",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104738",
            "telephone_number": "978-886-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19703 1ST AVE S",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482401",
            "telephone_number": "206-466-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "CLARE",
        "middle_name": "CHENGQIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normandy Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.