Individual provider Active NPI

Xiang Dunker, D.M.D.

  • General Practice Dentistry
  • Akron, OH
National Provider Identifier
1659823045
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.024929 Issued in OH
Practice address
790 Arlington RDG
Akron, OH 44312-5856
Phone
(330) 644-8070
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.024929 OH
General Practice Dentistry 1223G0001X 30.024929 OH Primary

Addresses

Primary practice location

790 Arlington RDG
Akron, OH 44312-5856

Mailing address

790 Arlington RDG
Akron, OH 44312-5856
Phone (330) 644-8070

Other names 1

  • Xiang Lu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161214002412 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5496035123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.024929OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1659823045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ARLINGTON RDG",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125856",
            "telephone_number": "330-644-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 ARLINGTON RDG",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125856",
            "telephone_number": "330-644-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKER",
        "first_name": "XIANG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024929",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XIANG",
            "last_name": "LU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.