Hongbo Xu D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54458 Issued in CA

Legal business name

HONGBO XU D.D.S.

Practice address

3011 Santa Monica Blvd
Santa Monica, CA 90404-2555

Phone

(310) 829-1559

Fax

(310) 828-7383

NPI assigned

May 21, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Hongbo Xu, D.D.S.NPI 1104051010

Title

Owner

Phone

(310) 709-5687

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hongbo Xu, D.D.S.

  • General Practice Dentistry
  • Santa Monica, CA
  • NPI 1104051010
  NPD (past) Authorized official
• Steve Chia Huang, D.M.D.

  • Dentist
  • Santa Monica, CA
  • NPI 1598900680
  NPD (past)
• Charles C Jeng, DDS

  • Dentist
  • Santa Monica, CA
  • NPI 1649306168
  NPD (past)

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1619313301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042555",
            "telephone_number": "310-829-1559",
            "fax_number": "310-828-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042555",
            "telephone_number": "310-829-1559",
            "fax_number": "310-828-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONGBO XU D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "HONGBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-709-5687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jefferey Hollis, N.D.
• Kevin Holmes
• Michelle Holmes, OD
• Katie Holz
• Deborah Hong, RDN
• Amanda Marie Honsvall Hoefler, M.D.
• Robert Lee Hook III, M.D.
• Adrian Robert Hopkins
• Meredith Yvonne Hoppe
• Douglas Hopper, M.D

• General Practice Dentistry in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.