David Jiayuan Xu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

059877-1 Issued in NY

Practice address

2521 Vestal Pkwy W
Vestal, NY 13850

Phone

(607) 754-2217

NPI assigned

Feb 18, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lalor Family Dental Horseheads, PLLC

  • General Practice Dentistry
  • Elmira, NY
  • NPI 1952854440
  NPD (past)
• Lalor Family Dental PLLC

  • General Practice Dentistry
  • Binghamton, NY
  • NPI 1366886632
  NPD (past)

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

{
    "created_epoch": "1487376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1932648201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292442",
            "telephone_number": "917-724-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 VESTAL PKWY W",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "13850",
            "telephone_number": "607-754-2217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 55th St",
            "address_2": "Station 20",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112202508",
            "country_code": "US",
            "telephone_number": "718-630-8573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1216 Upper Front St",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139051126",
            "country_code": "US",
            "telephone_number": "607-217-5581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1052 County Road 64",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149039770",
            "country_code": "US",
            "telephone_number": "607-953-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "DAVID",
        "middle_name": "JIAYUAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-18",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059877-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Theresa Woodford, FNP-C
• Jessica Woodmansee, NP
• Lindsay Woodruff
• Tara Wride
• Marianna Wright
• Maureen Yacynych
• Davinia Alicia Yarde, FNP
• Alexander Yevtukh, DO
• Ying Eye Care PC
• Heidi Ying, OD

• General Practice Dentistry in Vestal, NY
• Providers in Vestal, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.