Active NPI
New Dental28 PLLC
Doing business as Dental28
- Preferred Provider Organization
- Lexington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- DN1857061
- Legal business name
- NEW DENTAL28 PLLC
- Doing business as
- Dental28
- Practice address
- 1725 Massachusetts Ave
Lexington, MA 02420-5306 - Phone
- (781) 863-5577
- NPI assigned
- Mar 16, 2017
- Last updated
- Oct 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Xingxue Harry Hu, D.M.D.
- Title
- Director
- Phone
- (781) 863-5577
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Orofacial Pain Dentistry | 1223X2210X | |||
| Oral Medicine Dentistry | 125Q00000X | |||
| Basic Emergency Medical Technician | 146N00000X | |||
| Preferred Provider Organization | 305R00000X | DN1857061 | MA | Primary |
Addresses
Primary practice location
1725 Massachusetts Ave
Lexington, MA 02420-5306
Mailing address
1725 Massachusetts Ave
Lexington, MA 02420-5306
Phone (781) 863-5577
Other practice location 1
575 Mount Auburn St Ste B4
Cambridge, MA 02138-4627
Phone (857) 242-3377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1223G0001X | Other | MA | GENERAL PRACTICE IN DENTISTRY |
Other names 1
- DENTAL28
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1725 Massachusetts Ave
Lexington, MA 02420
Phone (781) 863-5577
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Prosthodontics
- Lexington, MA
- NPI 1366504417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634169600000",
"number": "1871034314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 MASSACHUSETTS AVE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024205306",
"telephone_number": "781-863-5577",
"fax_number": "781-372-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 MASSACHUSETTS AVE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024205306",
"telephone_number": "781-863-5577"
}
],
"practiceLocations": [
{
"address_1": "575 Mount Auburn St Ste B4",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021384627",
"country_code": "US",
"telephone_number": "857-242-3377",
"fax_number": "781-372-1010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW DENTAL28 PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-16",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A",
"authorized_official_last_name": "HU",
"authorized_official_first_name": "XINGXUE",
"authorized_official_middle_name": "HARRY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "781-863-5577",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orofacial Pain",
"state": null,
"license": null,
"primary": false
},
{
"code": "125Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "MA",
"license": "DN1857061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL PRACTICE IN DENTISTRY",
"identifier": "1223G0001X",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DENTAL28",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "DENTAL28",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.