Andrew Yujun Xu, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5884 Issued in OK

Practice address

11501 Custer Rd.
Suite 100
Frisco, TX 75035-0000

Phone

(972) 369-0084

NPI assigned

Feb 25, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Serene Dentistry

  • General Practice Dentistry
  • Frisco, TX
  • NPI 1386877728
  NPD (past) Authorized official
• Zaragoza Endodontic Group PLLC

  • Dentist
  • El Paso, TX
  • NPI 1447924204
  NPD

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1871629949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 SUNSHINE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750687636",
            "telephone_number": "646-662-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 CUSTER RD.",
            "address_2": "SUITE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350000",
            "telephone_number": "972-369-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "ANDREW",
        "middle_name": "YUJUN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wynn Dental PLLC
• Xiaohui Lu, M.D., P.a.
• Yin Xie, ACUPUNCTURIST
• Xo Healthcare Corp
• Xpressdoc DFW PLLC
• Wenrong Xu, O.D.
• Divya Yadavalli
• Brooklyn Rae Yaeger
• Yahya Healthcare LLC
• Allison Yanez

• General Practice Dentistry in Frisco, TX
• Providers in Frisco, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.