Zan Xu, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60019123 Issued in WA

Practice address

33516 9TH Ave S
Suite 4
Federal Way, WA 98003-6322

Phone

(253) 838-8830

Fax

(253) 874-4942

NPI assigned

Jul 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Zan Xu DDS of Bellevue PLLC

  • Dental Clinic/Center
  • Bellevue, WA
  • NPI 1306392022
  NPD (past) Authorized official
• Zan Xu DDS PLLC

  • Dental Clinic/Center
  • Federal Way, WA
  • NPI 1043753932
  NPD (past) Authorized official

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1366605255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33516 9TH AVE S STE 4",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036322",
            "telephone_number": "253-838-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33516 9TH AVE S",
            "address_2": "SUITE 4",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036322",
            "telephone_number": "253-838-8830",
            "fax_number": "253-874-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "ZAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60019123",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60019123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fenfen Wu, M.D.
• Phil Wu
• Lynn Elise Wunder, MA, LMFT
• Xeno Laboratory LLC
• Cassie Xu, MD
• Y M Lee DDS PLLC (Pacific Dental & Denture Clinic)
• Tamar Yahawahdah, LMP MA60533856
• Estelle I Yamaki, MD
• Hideo James Yamashita, MD
• Angela Yang, DDS

• Dentist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.