Active NPI
Xin Zhao, PREVENTIVE DENTAL
- Dental Hygienist
- Fort Myer, VA
National Provider Identifier
1134849441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 401 Carpenter Rd BLDG 525
Fort Myer, VA 22211-1009 - Phone
- (804) 637-4943
- NPI assigned
- Aug 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | |||
| Dental Hygienist | 124Q00000X | Primary |
Addresses
Primary practice location
401 Carpenter Rd BLDG 525
Fort Myer, VA 22211-1009
Mailing address
401 Carpenter Rd BLDG 525
Fort Myer, VA 22211-1009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000000 | Other | PREVENTIVE DENTAL HYGIENIST |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1134849441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CARPENTER RD BLDG 525",
"city": "FORT MYER",
"state": "VA",
"postal_code": "222111009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CARPENTER RD BLDG 525",
"city": "FORT MYER",
"state": "VA",
"postal_code": "222111009",
"telephone_number": "804-637-4943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHAO",
"first_name": "XIN",
"credential": "PREVENTIVE DENTAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-29",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREVENTIVE DENTAL HYGIENIST",
"identifier": "0000000000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myer, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.