Xu Family Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

XU FAMILY DENTAL, LLC

Practice address

828 Fort Wayne Ave
Indianapolis, IN 46204-1309

Phone

(317) 602-4898

Fax

(317) 559-7159

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Haifeng Xu, DDS, PHD

Title

Dentist/Owner

Phone

(317) 602-4898

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Care Dental Doing business as
• Xu Sleep Clinic Doing business as

Locations

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1689165672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14536 STONEGATE CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329132",
            "telephone_number": "317-602-4898",
            "fax_number": "317-559-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 FORT WAYNE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041309",
            "telephone_number": "317-602-4898",
            "fax_number": "317-559-7159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7748 Madison Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462275620",
            "country_code": "US",
            "telephone_number": "317-602-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "XU FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "HAIFENG",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "317-602-4898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201283020",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Xu Sleep Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Daphne XI, PHARMD, RPH
• Adam Yao Xiao, MD, PHD
• Jie Xie, MD
• Peiguang Tyler Xie, MD
• Lynn Xiong
• George Enshu Xu
• Haifeng Xu, DDS, PHD
• Jie Xu, M.D.
• Jonathan Tong Xu, MD
• Kemin Xu, MD

• Dental Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.