SHAOFAN KEVIN XU (NPI# 1710957329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710957329 |
| Entity Type | Individual |
| Full Name | SHAOFAN KEVIN XU |
| Other Name | KEVIN XU |
| Credential | DDS MS |
| Practice Address |
5038 Tacoma Mall Blvd Ste. A Tacoma WA 98409 |
| Practice Telephone | 2534732166 |
| Practice Fax Number | 2534732167 |
| Mailing Telephone | 2534732166 |
| Mailing Fax Number | 2534732167 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2011-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6938 | WA | Dental Providers |
| Street Address |
5038 TACOMA MALL BLVD STE. A |
| City | TACOMA |
| State | WA |
| Zip Code | 98409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578823852 | Kevin Xu D.d.s., M.s.,p.s., Inc. | Dentist | 5038 Tacoma Mall Blvd, Ste. A, Tacoma, WA 98409-7103 | 2012-05-21 |
| 1588899173 | Dynamic Medical Diagnostic Imaging Centers, LLC | Clinic/Center | 5038 Tacoma Mall Blvd, Suite C, Tacoma, WA 98409-7103 | 2009-05-26 |
| 1194809467 | Megan Rochelle Miller | Dentist | 5038 Tacoma Mall Blvd, Suite A, Tacoma, WA 98409-7140 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205904 | Bianca Elisa Gardner | Dentist | Building 9900 Lincoln Street, Tacoma, WA 98431-0001 | 2020-08-12 |
| 1568003002 | Dylan Morgan | Dentist | Bldg 9900 Lincoln St, Tacoma, WA 98431-0001 | 2019-10-07 |
| 1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
| 1841785730 | Ethan Earl Tindall | Dentist | 9900 Lincoln St, 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2018-06-25 |
| 1205327020 | Charles Lamar Lewis | Dentist | 9900 Lincoln St 2nd Floor, Tacoma, WA 98431-1100 | 2018-05-29 |
| 1265950737 | Scott Jeffrey Sullivan | Dentist | 3516 S 47th St Ste 104, Tacoma, WA 98409-4427 | 2017-09-06 |
| 1235687500 | Erika K. Ridgeway | Dentist | 1148 72nd St E Unit B, Tacoma, WA 98404-1806 | 2016-09-15 |
| 1003363631 | Giovanna Dainty | Dentist | 9900 Lincoln Street Us Army Dental Health Activity Jblm, Tacoma, WA 98431-0001 | 2016-09-01 |
| 1023563558 | Tiffany Lamberton | Dentist | 2522 N Proctor St # 29, Tacoma, WA 98406-5338 | 2016-08-25 |
| 1316491731 | Bradford Spika | Dentist | 3623 55th St Ne, Tacoma, WA 98422-4570 | 2016-08-15 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.