Active NPI
Anita Xiong
- Medical Physician Assistant
- Saint Paul, MN
National Provider Identifier
1871994095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 947 County Road D E
Apt 103
Saint Paul, MN 55109-5290 - Phone
- (763) 276-3727
- NPI assigned
- Sep 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1411674742 | MN | |
| Medical Physician Assistant | 363AM0700X | MN | Primary |
Addresses
Primary practice location
947 County Road D E
Apt 103
Saint Paul, MN 55109-5290
Mailing address
947 County Road D East Apt 103
Apt 103
Saint Paul, MN 55109
Phone (763) 276-3727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01134462 | Other | MN | MHCP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1411674742 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871994095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 COUNTY ROAD D EAST APT 103",
"address_2": "APT 103",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55109",
"telephone_number": "763-276-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "947 COUNTY ROAD D E",
"address_2": "APT 103",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551095290",
"telephone_number": "763-276-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIONG",
"first_name": "ANITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "1411674742",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHCP",
"identifier": "01134462",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.