Active NPI
Hong Xie, DDS, Inc.
- General Practice Dentistry
- Antioch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58642
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hong Xie, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 58642 | CA | |
| General Practice Dentistry | 1223G0001X | 58642 | CA | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 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
National Provider Directory
National Provider Directory- Tax ID family
- Hong Xie DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Surgery (Dentist)
- San Ramon, CA
- NPI 1164149043
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Danville, CA
- NPI 1336371947
General Practice
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.