Active NPI
Xurui Peng, DMD
- Dentist
- Coatesville, PA
National Provider Identifier
1902589187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS044256
- Practice address
- 2771 E Lincoln Hwy
Coatesville, PA 19320-2461 - Phone
- (610) 851-4410
- NPI assigned
- Aug 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS044256 | PA | Primary |
Addresses
Primary practice location
2771 E Lincoln Hwy
Coatesville, PA 19320-2461
Mailing address
200 N 16TH St Apt 522
Philadelphia, PA 19102-1218
Phone (267) 977-0349
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 |
|---|---|---|---|
| DS044256 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1902589187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N 16TH ST APT 522",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021218",
"telephone_number": "267-977-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2771 E LINCOLN HWY",
"city": "COATESVILLE",
"state": "PA",
"postal_code": "193202461",
"telephone_number": "610-851-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENG",
"first_name": "XURUI",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS044256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coatesville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.