Organization Active NPI

New Dental28 PLLC

Doing business as Dental28

  • Preferred Provider Organization
  • Lexington, MA
National Provider Identifier
1871034314
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DN1857061 Issued in MA
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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.NPI 1588032395
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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Orofacial Pain DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X2210X
Oral Medicine DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 125Q00000X
Basic Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1223G0001XOtherMAGENERAL PRACTICE IN DENTISTRY

Other names 1

  • DENTAL28 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210821000339 MA Part B Supplier - Clinic/Group Practice 6608271101 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, MA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.