Alex Xu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40565 Issued in TX

Practice address

5190 Western Center Blvd
Haltom City, TX 76137-2144

Phone

(817) 656-1215

NPI assigned

Feb 17, 2023

Sex

Male

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

Practice roles

Locations

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.

• Abc Family Dental Basswood PLLC

  dba ABC Family Dental

  • General Practice Dentistry
  • Haltom City, TX
  • NPI 1003234238
  NPD
• Ideal Dental of Willow Bend PLLC

  • Dentist
  • Plano, TX
  • NPI 1801266028
  NPD (past)

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1467150599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 DALLAS PKWY STE 900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 WESTERN CENTER BLVD",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761372144",
            "telephone_number": "817-656-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-17",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raynell Williams-Guy
• Kimberly Williamson, PA-C
• Janis Payne Wilson
• Sun Won, D.D.S
• Xpress Provider Service PLLC (Xpress Medical Family Practice & Urgent Care)
• Charlotte Youree
• Jordan Danielle Zarek, PHARM.D.

• General Practice Dentistry in Haltom City, TX
• Providers in Haltom City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.