Individual provider Active NPI

Xin Zeng

  • Dentist
  • Frisco, TX
National Provider Identifier
1174986301
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857212 Issued in MA
Practice address
10050 Legacy Dr Ste 600
Frisco, TX 75033-6744
Phone
(972) 607-3847
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857212 MA Primary

Addresses

Primary practice location

10050 Legacy Dr Ste 600
Frisco, TX 75033-6744

Mailing address

10050 Legacy Dr Ste 600
Frisco, TX 75033-6744
Phone (972) 607-3847

Other practice location 1

188 East St Ste 202
Pittsfield, MA 01201-5362
Phone (413) 447-7600

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
DN1857212MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Natalya Yantovsky DMD PastSince Nov 8, 2020 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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1174986301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 LEGACY DR STE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750336744",
            "telephone_number": "972-607-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 LEGACY DR STE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750336744",
            "telephone_number": "972-607-3847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 East St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012015362",
            "country_code": "US",
            "telephone_number": "413-447-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZENG",
        "first_name": "XIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.