Individual provider Active NPI

Xu Qian, DDS, MS, PHD

  • Dentist
  • Bellevue, WA
National Provider Identifier
1609352749
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60991059 Issued in WA
Practice address
989 112TH Ave NE Ste 207
Bellevue, WA 98004-8579
Phone
(425) 300-5558
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60991059 WA Primary
Dentist 122300000X DF11393 MA

Addresses

Primary practice location

989 112TH Ave NE Ste 207
Bellevue, WA 98004-8579

Mailing address

989 112TH Ave NE Ste 207
Bellevue, WA 98004-8579
Phone (425) 300-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DF11393MAMDDentist
DE60991059WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Xu Qian DDS Ms PHD, PLLC. Dentist CurrentSince Jan 4, 2026 Accepting new patients

Locations

989 112th Ave NE
Ste 207
Bellevue, WA 98004
Phone (425) 300-5558

Organizations & group practices 1

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1609352749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 112TH AVE NE STE 207",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048579",
            "telephone_number": "425-300-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 112TH AVE NE STE 207",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048579",
            "telephone_number": "425-300-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIAN",
        "first_name": "XU",
        "credential": "DDS, MS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60991059",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DF11393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.