Jennifer Trang Xa, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

48407 Issued in CA

Practice address

9225 Mira Mesa Blvd Ste 103
San Diego, CA 92126-4810

Phone

(858) 566-7645

Fax

(858) 566-6039

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Trang Thi Xa Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Locations

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.

• Jennifer Trang Xa, D.D.S, Inc.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1740441070
  Medicare reassignment NPD Authorized official
• Jennifer Trang Xa, D.D.S, Inc.

  • Dental Clinic/Center
  • Escondido, CA
  • NPI 1538913603
  NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1922160050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 MIRA MESA BLVD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264810",
            "telephone_number": "858-566-7645",
            "fax_number": "858-566-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 MIRA MESA BLVD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264810",
            "telephone_number": "858-566-7645",
            "fax_number": "858-566-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XA",
        "first_name": "JENNIFER",
        "middle_name": "TRANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "48407",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRANG",
            "last_name": "XA",
            "middle_name": "THI",
            "prefix": "MRS.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia Elizabeth Wynne, L.AC.
• Mary French Wynne
• Wendy Wynveen, P.T.
• Jacob Mickey Wyse
• Robyn Wyzinski, PT
• Angela Pham Xavier, MD
• Christopher Paul Xavier, M.D.
• Marin F Xavier, MD
• Xcite Steps, LLC
• Xcite Steps, LLC

• Oral and Maxillofacial Surgery (Dentist) in San Diego, CA
• Providers in San Diego, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.