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Xue Zhao

Dentist - Pediatric Dentistry β€’ Gresham, OR

Active NPI 1992259048 Individual Practitioner Female Practitioner
Practice location in NPPES

742 Ne Division St Ste 201
Gresham, OR 970303979

Call 5039126255 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

742 Ne Division St Ste 201

Gresham, OR 970303979

Telephone 5039126255
Organization at the Same NPPES Address or Phone
Harmony Pediatric Dental Group Llc Facility NPI 1942712922

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Sandy, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

6 active clinicians are listed under Dentist - Pediatric Dentistry with a practice address in Gresham, OR (172 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-11-09
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

License # reported to NPPES OR D11545

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Secondary Practice Locations

37515 Highway 26

Sandy, OR 970559301

Phone: 5039126255

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 09, 2021

Registered at 742 NE DIVISION ST STE 201, GRESHAM, OR 970303979 (Tel: 5039126255)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2021

Dentist (license number reported to NPPES: OR D11545)

βœ…
NPI Profile Active August 06, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 06, 2016

Registered at 1 BROOKDALE PLZ, BROOKLYN, NY 112123139 (Tel: 7182406552)

πŸ“
Business Mailing Address (Initial Record) August 06, 2016

Registered at 1 BROOKDALE PLZ, BROOKLYN, NY 112123139

πŸ‘€
Provider Name / Credentials (Initial Record) August 06, 2016

Recorded as XUE ZHAO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2016

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 06, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992259048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2016
Last Update: November 09, 2021
Sole Proprietor: No

Mailing Address

1 Brookdale Plz

Brooklyn, NY 112123139

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.