Active NPI
Xinyan Wang
- Dentist
- Lynnwood, WA
National Provider Identifier
1306526736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DENT.DE.61683238
- Practice address
- 16108 Ash Way Ste 202
Lynnwood, WA 98087-8781 - Phone
- (425) 741-2030
- NPI assigned
- Jul 20, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DENT.DE.61683238 | WA | Primary |
Addresses
Primary practice location
16108 Ash Way Ste 202
Lynnwood, WA 98087-8781
Mailing address
345 E. 24TH Street
New York, NY 10010
Phone (212) 998-9800
Other practice location 1
345 E. 24th Street
New York, NY 10010
Phone (212) 998-9800
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 |
|---|---|---|---|
| DENT.DE.61683238 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dong Wu Han PLLC | Current | Accepting new patients | |
| Dr. Shur Dental | Past | Accepting new patients |
Locations
16108 Ash Way
Ste 202
Lynnwood, WA 98087
Phone (425) 741-2030
Organizations & group practices 2
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": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1306526736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E. 24TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-998-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16108 ASH WAY STE 202",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980878781",
"telephone_number": "425-741-2030"
}
],
"practiceLocations": [
{
"address_1": "345 E. 24th Street",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10010",
"country_code": "US",
"telephone_number": "212-998-9800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "XINYAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DENT.DE.61683238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.