Active NPI
Xiaoyue Shi, DDS
- General Practice Dentistry
- Gig Harbor, WA
National Provider Identifier
1033048400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DENT.DE.70113061
- Practice address
- 4901 Point Fosdick Dr Ste 300
Gig Harbor, WA 98335-1846 - Phone
- (125) 385-8802
- NPI assigned
- May 13, 2026
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DENT.DE.70113061 | WA | Primary |
Addresses
Primary practice location
4901 Point Fosdick Dr Ste 300
Gig Harbor, WA 98335-1846
Mailing address
1502 Fawcett Ave Apt 2518
Tacoma, WA 98402-5521
Phone (734) 757-3925
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 |
|---|---|---|---|
| DENT.DE.70113061 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1033048400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 FAWCETT AVE APT 2518",
"city": "TACOMA",
"state": "WA",
"postal_code": "984025521",
"telephone_number": "734-757-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 POINT FOSDICK DR STE 300",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351846",
"telephone_number": "125-385-8802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHI",
"first_name": "XIAOYUE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-13",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DENT.DE.70113061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.