Lily Xu DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LILY XU DDS

Practice address

4745 Volunteer Rd Ste 302
Davie, FL 33330-2126

Phone

(954) 530-5164

NPI assigned

May 20, 2025

Last updated

May 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Xiaoqian XuNPI 1649919374

Title

Owner

Phone

(248) 330-7268

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xiaoqian Xu, DDS

  • Dentist
  • Davie, FL
  • NPI 1649919374
  NPD Authorized official

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1063204717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 CASCADE TER",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322486",
            "telephone_number": "248-330-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 VOLUNTEER RD STE 302",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302126",
            "telephone_number": "954-530-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY XU DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "XIAOQIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-330-7268"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649919374",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Davie, FL
• Providers in Davie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.