Jing Xu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105417 Issued in CA

Practice address

10430 S de Anza Blvd Ste 140
Cupertino, CA 95014-3024

Phone

(669) 308-1633

Fax

(669) 306-8988

NPI assigned

Sep 28, 2020

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

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1861009474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LANCEWOOD PL",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321722",
            "telephone_number": "628-246-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 S DE ANZA BLVD STE 140",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143024",
            "telephone_number": "669-308-1633",
            "fax_number": "669-306-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "JING",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Wu
• Luke Wu, DDS
• Michael S. Wu
• Lucy Wun, O.DO
• Meixian Xiao, L.AC
• Zhiwei Xu, ACUPUNCTURIST
• Xueying Yang OD Inc
• Sheri Yamanishi, O.D.
• Rachel Yan, PT, DPT
• Amos S Yang, MD

• General Practice Dentistry in Cupertino, CA
• Providers in Cupertino, 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 4, 2023; 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.