Fan Xu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61354779 Issued in WA

Practice address

626-2ND Ave S
Okanogan, WA 98840

Phone

(800) 660-2129

NPI assigned

Oct 28, 2022

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1447967641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 2ND AVENUE SOUTH",
            "address_2": "P.O. BOX 1340",
            "city": "OKANOGAN",
            "state": "WA",
            "postal_code": "98840",
            "telephone_number": "800-660-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626-2ND AVE S",
            "city": "OKANOGAN",
            "state": "WA",
            "postal_code": "98840",
            "telephone_number": "800-660-2129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3191 S Sepulveda Blvd Apt 308",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900344208",
            "country_code": "US",
            "telephone_number": "929-272-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "FAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61354779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lue'Cinda R. Soriano-Churape, RN, BSN
• Stanley H Cox, PS
• Mary E Swayze
• Adrian Henoch Tomarere, DDS
• Webb and Loiseau, PLLC (North Cascades Dental)
• Beth Erin Zimmerman, RN

• General Practice Dentistry in Okanogan, WA
• Providers in Okanogan, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.