Individual provider Active NPI

Xiaojing Li, D.M.D.,M.S.D.,D.S.C.

  • General Practice Dentistry
  • Framingham, MA
National Provider Identifier
1053594077
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21923 Issued in MA
Practice address
235 Walnut St # S1
Framingham, MA 01702-7592
Phone
(508) 416-6118
NPI assigned
Dec 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2015

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 21923 MA Primary

Addresses

Primary practice location

235 Walnut St # S1
Framingham, MA 01702-7592

Mailing address

235 Walnut St # S1
Framingham, MA 01702-7592
Phone (508) 416-6118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203000183 MA Order and Referring Only - DentistPractitioner - Dentist 2860796430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21923MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Walnut Dental Group 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.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449360000000",
    "number": "1053594077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WALNUT ST # S1",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017027592",
            "telephone_number": "508-416-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WALNUT ST # S1",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017027592",
            "telephone_number": "508-416-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "XIAOJING",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,M.S.D.,D.S.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2015-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.