Individual provider Active NPI

Xiaoying Deng, DDS

  • Pediatric Dentistry
  • Lakewood, WA
National Provider Identifier
1861988362
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE61311424 Issued in WA
Practice address
6003 100TH St SW
Lakewood, WA 98499-2733
Phone
(253) 453-3030
Fax
(253) 453-3031
NPI assigned
Jul 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61311424 WA
Pediatric Dentistry 1223P0221X DE61311424 WA Primary

Addresses

Primary practice location

6003 100TH St SW
Lakewood, WA 98499-2733

Mailing address

6003 100TH St SW
Lakewood, WA 98499-2733
Phone (253) 453-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE61311424WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Xiaoying Deng, DDS, PLLC CurrentSince Dec 8, 2024 Accepting new patients

Locations

1246 State Ave
Ste C
Marysville, WA 98270
Phone (360) 209-8744

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1861988362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992733",
            "telephone_number": "253-453-3030",
            "fax_number": "253-453-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992733",
            "telephone_number": "253-453-3030",
            "fax_number": "253-453-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENG",
        "first_name": "XIAOYING",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-08",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61311424",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE61311424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.