Individual provider Active NPI

Nick Xie, DDS

  • General Practice Dentistry
  • Dayton, OH
National Provider Identifier
1942994090
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.027241 Issued in OH
Practice address
2640 Salem Ave
Dayton, OH 45406-2931
Phone
(937) 276-9788
NPI assigned
Jun 2, 2023
Last updated
Apr 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.027241 OH Primary

Addresses

Primary practice location

2640 Salem Ave
Dayton, OH 45406-2931

Mailing address

3745 Acadia LN
Mason, OH 45036-7218
Phone (304) 521-8594

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

LicenseStateTypeSpecialty
30.027241OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Dental Dayton Ming Yu DDS LLC CurrentSince Apr 28, 2024 Accepting new patients
Aggarwal Dental Center Inc. PastSince Apr 28, 2024 Accepting new patients
Zealous Dental Beavercreek LLC General Practice PastSince Jun 1, 2023 Accepting new patients
Jeffrey C Miller DDS Inc General Practice PastSince Jun 1, 2023 Accepting new patients

Locations

2640 Salem Ave
Dayton, OH 45406
Phone (937) 276-9788

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1942994090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 ACADIA LN",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450367218",
            "telephone_number": "304-521-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 SALEM AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062931",
            "telephone_number": "937-276-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIE",
        "first_name": "NICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; 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.