Organization Active NPI

Hong Xie, DDS, Inc.

  • General Practice Dentistry
  • Antioch, CA
National Provider Identifier
1255768123
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58642 Issued in CA
Legal business name
HONG XIE, DDS, INC.
Practice address
2225 Buchanan Rd
G
Antioch, CA 94509-4209
Phone
(510) 637-8289
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Dr. Hong Xie, DDSNPI 1336371947
Title
Chief Officer
Phone
(510) 637-8289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 58642 CA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 58642 CA Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

2225 Buchanan Rd
G
Antioch, CA 94509-4209

Mailing address

2225 Buchanan Rd
G
Antioch, CA 94509-4209

Other practice location 1

111 Deerwood Rd Ste 170
San Ramon, CA 94583-2197
Phone (925) 856-3753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201215002425 CA Part B Supplier - Clinic/Group Practice 3274945217 Receives reassigned benefits from 1 practitioner
Practice locations: San Ramon, CA; Antioch, CA

National Provider Directory

National Provider Directory
Tax ID family
Hong Xie DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2225 Buchanan Rd
Ste G
Antioch, CA 94509
Phone (510) 637-8289

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1255768123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 BUCHANAN RD",
            "address_2": "G",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 BUCHANAN RD",
            "address_2": "G",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094209",
            "telephone_number": "510-637-8289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Deerwood Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945832197",
            "country_code": "US",
            "telephone_number": "925-856-3753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HONG XIE, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "XIE",
        "authorized_official_first_name": "HONG",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "510-637-8289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58642",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58642",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.