Active NPI
Xu Qian, DDS, MS, PHD
- Dentist
- Bellevue, WA
National Provider Identifier
1609352749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60991059
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DF11393 | MA | MD | Dentist |
| DE60991059 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xu Qian DDS Ms PHD, PLLC. | Dentist | Current | 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.