Individual provider Active NPI

Eric Chengyu Xu, DDS

  • Dentist
  • Olympia, WA
National Provider Identifier
1083393466
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61451496 Issued in WA
Practice address
2728 Westmoor CT SW Ste D
Olympia, WA 98502-5779
Phone
(360) 995-0025
NPI assigned
Jul 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61451496 WA Primary

Addresses

Primary practice location

2728 Westmoor CT SW Ste D
Olympia, WA 98502-5779

Mailing address

2728 Westmoor CT SW Ste D
Olympia, WA 98502-5779
Phone (360) 995-0025

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
DE61451496WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Northwest Dental Group, LLC CurrentSince Aug 13, 2023 Accepting new patients
Eric Xu DDS, PLLC CurrentSince Aug 13, 2023 Accepting new patients

Locations

2728 Westmoor Ct SW
Ste D
Olympia, WA 98502
Phone (360) 357-4505

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1083393466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 WESTMOOR CT SW STE D",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025779",
            "telephone_number": "360-995-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 WESTMOOR CT SW STE D",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025779",
            "telephone_number": "360-995-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "ERIC",
        "middle_name": "CHENGYU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61451496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.