Yuanming Xu

Primary specialty

Oral Medicine DentistryTaxonomy code 125Q00000X

License

DF11947 Issued in MA

Practice address

1 Kneeland St FL 6
Boston, MA 02111-1527

Phone

(617) 636-3932

NPI assigned

Jul 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Dentist

Education

Tufts University School of Dental Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trustees of Tufts CollegeGroup PAC ID 3779522628, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Trustees of Tufts College

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1356559371
  Medicare reassignment Care Compare group NPD
• Trustees of Tufts College

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1790955318
  NPD
• Trustees of Tufts College

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1457636029
  NPD (past)

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1760969216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CALUMET ST APT 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021202994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST FL 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "YUANMING",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DF11864",
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "MA",
            "license": "DF11947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanlu Xu
• Wanpeng Xu, DMD
• Wenxin Xu, M.D.
• Xiang Xu, M.D., PH.D.
• Xiaohan Xu
• Zhining Xu, LMHC CANDIDATE
• Jenny Yaohua Xue
• Jiayin Xue, MD
• Kristine H. Xue, MD
• Cristian Ya, RPH

• Oral Medicine Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• Oral Medicine Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.