Individual provider Active NPI

Hong J Xie, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Danville, CA
National Provider Identifier
1336371947
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
58642 Issued in CA
Practice address
26 Channi CT
Danville, CA 94506-5018
Phone
(925) 648-2150
NPI assigned
Aug 14, 2009
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58642 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 58642 CA Primary

Addresses

Primary practice location

26 Channi CT
Danville, CA 94506-5018

Mailing address

26 Channi CT
Danville, CA 94506-5018
Phone (925) 648-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201228000731 CA Practitioner - Oral SurgeryPractitioner - Dentist 8820380249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hong Xie, DDS, Inc. Oral and Maxillofacial Surgery Current Accepting new patients
Hong Xie, DDS, Inc. General Practice CurrentSince Nov 29, 2020 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: hxie@direct.westerndental.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1336371947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CHANNI CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945065018",
            "telephone_number": "925-648-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CHANNI CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945065018",
            "telephone_number": "925-648-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIE",
        "first_name": "HONG",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58642",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "58642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.