Individual provider Active NPI

Lynn Yu Xie, DDS

  • Dentist
  • Seattle, WA
National Provider Identifier
1114571148
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60974829 Issued in WA
Practice address
527 Boren Ave N
Seattle, WA 98109-5502
Phone
(206) 274-1211
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60974829 WA Primary

Addresses

Primary practice location

527 Boren Ave N
Seattle, WA 98109-5502

Mailing address

21017 NE 115TH St
Redmond, WA 98053-2106
Phone (210) 381-1300

Other practice location 1

16810 Meridian E
Puyallup, WA 98375-9604
Phone (253) 848-7777

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
DE60974829WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Dental Corporation, PC Dentist PastSince Aug 6, 2019 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": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1114571148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21017 NE 115TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980532106",
            "telephone_number": "210-381-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 BOREN AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095502",
            "telephone_number": "206-274-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16810 Meridian E",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983759604",
            "country_code": "US",
            "telephone_number": "253-848-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIE",
        "first_name": "LYNN",
        "middle_name": "YU",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60974829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.