Active NPI
Lynn Yu Xie, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1114571148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60974829
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60974829 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Dental Corporation, PC | Dentist | 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.
-
- Dentist
- Seattle, WA
- NPI 1942793526
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.