Individual provider Active NPI

Steven Zhi Gang Xue, D.D.S

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1083839278
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20668 Issued in TX
Practice address
9888 Bellaire Blvd Ste 120
Houston, TX 77036-3431
Phone
(713) 773-9971
Fax
(713) 773-0336
NPI assigned
Apr 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 20668 TX Primary

Addresses

Primary practice location

9888 Bellaire Blvd Ste 120
Houston, TX 77036-3431

Mailing address

9888 Bellaire Blvd Ste 120
Houston, TX 77036-3431
Phone (713) 773-9971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210412001431 TX Practitioner - Oral SurgeryPractitioner - Maxillofacial SurgeryPractitioner - Dentist 3678981669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20668TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Universe Dental PA General Practice CurrentSince Jan 1, 2021 Accepting new patients
Universe Dental PA PastSince Jan 1, 2021 Accepting new patients

Locations

9888 Bellaire Blvd
Ste 120
Houston, TX 77036
Phone (713) 773-9971

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083839278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 BELLAIRE BLVD STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363431",
            "telephone_number": "713-773-9971",
            "fax_number": "713-773-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 BELLAIRE BLVD STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363431",
            "telephone_number": "713-773-9971",
            "fax_number": "713-773-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XUE",
        "first_name": "STEVEN",
        "middle_name": "ZHI GANG",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.