Active NPI
Shaun Xun Xu, DDS
- Dentist
- Rosemead, CA
National Provider Identifier
1982915799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 59365
- Practice address
- 2111 San Gabriel Blvd
Suite I
Rosemead, CA 91770-3600 - Phone
- (626) 627-6249
- Fax
- (626) 280-4632
- NPI assigned
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 59365 | CA | Primary |
Addresses
Primary practice location
2111 San Gabriel Blvd
Suite I
Rosemead, CA 91770-3600
Mailing address
2111 San Gabriel Blvd
Suite I
Rosemead, CA 91770-3600
Phone (626) 627-6249
Other names 1
- Dr. Xun Xu
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441584000000",
"number": "1982915799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 SAN GABRIEL BLVD",
"address_2": "SUITE I",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917703600",
"telephone_number": "626-627-6249",
"fax_number": "626-280-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 SAN GABRIEL BLVD",
"address_2": "SUITE I",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917703600",
"telephone_number": "626-627-6249",
"fax_number": "626-280-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XU",
"first_name": "SHAUN",
"middle_name": "XUN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2015-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "XUN",
"last_name": "XU",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.