Sijia Xu

Primary specialty

DentistTaxonomy code 122300000X

License

DS043497 Issued in PA

Practice address

222 W Cunningham St
Butler, PA 16001-5790

Phone

(724) 298-2108

NPI assigned

Apr 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1902485923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W CUNNINGHAM ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W CUNNINGHAM ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015790",
            "telephone_number": "724-298-2108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5610 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203599",
            "country_code": "US",
            "telephone_number": "718-210-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "SIJIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Wolfrum
• Mailinn Eleana Wong-Perez, M.D.
• Kara Wood
• Michael Woodward
• Allison Julianna Wright, PA-C
• Carl Thomas Yannotty Jr., DMD
• Carolyn Gregorio Yap, M.D.
• Olima Ochilboevna Yeager, MA,LPC
• Leslie June Yerace, PSYD
• C Thomas Yost, M.D.

• Dentist in Butler, PA
• Providers in Butler, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.