Xue Zhao

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D11545 Issued in OR

Practice address

742 NE Division St Ste 201
Gresham, OR 97030-3979

Phone

(503) 912-6255

NPI assigned

Aug 6, 2016

Sex

Female

Sole proprietor

No

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.

• Harmony Pediatric Dental Group LLC

  • Pediatric Dentistry
  • Sandy, OR
  • NPI 1942712922
  NPD (past)

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1992259048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 NE DIVISION ST STE 201",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303979",
            "telephone_number": "503-912-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37515 Highway 26",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "OR",
            "postal_code": "970559301",
            "country_code": "US",
            "telephone_number": "503-912-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "XUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-06",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D11545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Kathleen Zaninovich, MSW
• Luai Zarour, MD
• Meaza Zeleke
• Savanna Nicole Zelinka, L.M.T.
• Gisela Zepeda, RDH
• XI Zheng, M.D.,PH.D.
• Ting Ting Zhou, M.D.
• Anni Zieler, N.D.
• Katherine Zieman, N.D.
• Pamela Christine Zigo

• Pediatric Dentistry in Gresham, OR
• Providers in Gresham, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.