Individual provider Active NPI

Xingxue Hu, DMD

  • Oral Medicine Dentistry
  • Lexington, MA
National Provider Identifier
1588032395
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral Medicine DentistryTaxonomy code 125Q00000X
License
DN1857061 Issued in MA
Practice address
1725 Massachusetts Ave
Lexington, MA 02420-5306
Phone
(781) 863-5577
Fax
(781) 372-1010
NPI assigned
Sep 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1857061 MA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN1857061 MA
Orofacial Pain Dentistry 1223X2210X DN1857061 MA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X DN1857061 MA
Oral Medicine Dentistry 125Q00000X DN1857061 MA Primary

Addresses

Primary practice location

1725 Massachusetts Ave
Lexington, MA 02420-5306

Mailing address

1725 Massachusetts Ave
Lexington, MA 02420-5306
Phone (781) 863-5577

Other practice location 1

575 Mount Auburn St Ste B4
Cambridge, MA 02138-4627
Phone (857) 242-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210825003643 MA Practitioner - Oral SurgeryPractitioner - Dentist 7012312259 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857061MAMDOral Medicinist

Practice roles

OrganizationSpecialtyStatusNew patients
New Dental28 PLLC Oral and Maxillofacial Surgery CurrentSince Jun 1, 2021 Accepting new patients
Randall L Davis DMD PC General Practice Past Accepting new patients

Locations

575 Mount Auburn St
Ste B4
Cambridge, MA 02138
Phone (617) 513-0277

1725 Massachusetts Ave
Lexington, MA 02420
Phone (781) 863-5577

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.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1588032395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MASSACHUSETTS AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024205306",
            "telephone_number": "781-863-5577",
            "fax_number": "781-372-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MASSACHUSETTS AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024205306",
            "telephone_number": "781-863-5577",
            "fax_number": "781-372-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Mount Auburn St Ste B4",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021384627",
            "country_code": "US",
            "telephone_number": "857-242-3377",
            "fax_number": "781-372-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HU",
        "first_name": "XINGXUE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857061",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1857061",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "MA",
            "license": "DN1857061",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "DN1857061",
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "MA",
            "license": "DN1857061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.