Xing Fan, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855843 Issued in MA

Practice address

76 Bedford St Ste 8
Lexington, MA 02420-4640

Phone

(781) 862-0665

NPI assigned

Oct 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Paul F. Dimattia DDS

  • General Practice Dentistry
  • Lexington, MA
  • NPI 1285817767
  NPD (past)

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1629354071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 CONCORD AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024218010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 8",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204640",
            "telephone_number": "781-862-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "XING",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna M Fagan-Sturniolo
• Kerry A. Fagan, PT
• Jennifer Susan Famiglietti, LICSW
• Family ABA, LLC
• Jiwen Fan
• Elaine Farash, LICSW
• Nina Marie Farivari, M.D.
• Marianne Daisy Farkas, SCD
• Kaelin Farmer
• Catherine R Favrot

• General Practice Dentistry in Lexington, MA
• Providers in Lexington, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.