Active NPI
Bing Elliot Xia, DDS
- General Practice Dentistry
- San Bruno, CA
National Provider Identifier
1386664035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47827
- Practice address
- 931 San Bruno Ave W.
San Bruno, CA 94066-1057 - Phone
- (415) 986-2626
- Fax
- (415) 986-2770
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47827 | CA | Primary |
Addresses
Primary practice location
931 San Bruno Ave W.
San Bruno, CA 94066-1057
Mailing address
931 San Bruno Ave W.
San Bruno, CA 94066-1057
Phone (415) 986-2626
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220805002127 | CA | Practitioner - Dentist | 0648652727 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bing Elliot Xia DDS Inc | Current | Accepting new patients | |
| Axia Dental Cooperation | Current | Accepting new patients |
Locations
931 San Bruno Ave W
Rm 8
San Bruno, CA 94066
Phone (415) 986-2626
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.
-
- Dental Clinic/Center
- San Leandro, CA
- NPI 1104627603
-
- Dental Clinic/Center
- San Bruno, CA
- NPI 1770240343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1386664035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 SAN BRUNO AVE W.",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940661057",
"telephone_number": "415-986-2626",
"fax_number": "415-986-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 SAN BRUNO AVE W.",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940661057",
"telephone_number": "415-986-2626",
"fax_number": "415-986-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIA",
"first_name": "BING",
"middle_name": "ELLIOT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.