Individual provider Active NPI

Jennifer Ruizhe Siu, DMD

  • Dentist
  • Redmond, WA
National Provider Identifier
1558753764
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60669867 Issued in WA
Practice address
16255 NE 87TH St Ste 150
Redmond, WA 98052-7464
Phone
(425) 883-8000
Fax
(425) 883-7580
NPI assigned
Feb 25, 2015
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60669867 WA Primary

Addresses

Primary practice location

16255 NE 87TH St Ste 150
Redmond, WA 98052-7464

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

13030 Military Rd S Ste 210
Tukwila, WA 98168-3080
Phone (206) 839-3600 ext. 42754

Other names 1

  • Dr. Jennifer Ruizhe Li Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsiu20244@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160927002741 WA Order and Referring Only - DentistPractitioner - Dentist 9133416639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint PastSince Nov 1, 2019 Accepting new patients
Healthpoint Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.siu.p3@direct.hpc.nextgenshare.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": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1558753764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "252-771-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16255 NE 87TH ST STE 150",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527464",
            "telephone_number": "425-883-8000",
            "fax_number": "425-883-7580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13030 Military Rd S Ste 210",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981683080",
            "country_code": "US",
            "telephone_number": "206-839-3600 x42754",
            "fax_number": "206-246-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIU",
        "first_name": "JENNIFER",
        "middle_name": "RUIZHE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60669867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsiu20244@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "16255 NE 87th St Ste 150",
            "city": "Redmond",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980527464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LI",
            "middle_name": "RUIZHE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.