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Dr. Serena Xu , DDS

Dentist - General Practice β€’ Longview, WA

Active NPI 1356107288 Individual Practitioner Female Practitioner
Practice location in NPPES

1057 12th Ave
Longview, WA 986322509

Call 3604141300 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

1057 12th Ave

Longview, WA 986322509

Telephone 3604141300
Fax 3606364420
Organization at the Same NPPES Address or Phone
Cowlitz Family Health Center Facility NPI 1891724506

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

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

2024

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 Longview and Washington

27 active clinicians are listed under Dentist - General Practice with a practice address in Longview, WA (3,198 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

0% of these 27 clinicians have the CMS telehealth indicator.

0% of these 27 clinicians are listed by CMS as accepting Medicare assignment.

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: 2024-07-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WA DE61571928

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health 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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Lee Hermen , DDS

Dentist - General Practice

NPI 1649336470

Doctor of Dental Surgery

Dr. David Meyers , DDS

Dentist - General Practice

NPI 1982711230

Doctor of Dental Surgery

Dr. Ariel Park , DMD

Dentist - General Practice

NPI 1619524857

Doctor of Dental Medicine

Dr. Justin Tan , DDS

Dentist - General Practice

NPI 1235536475

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location July 23, 2024

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3604141300)

πŸ“
Updated Business Mailing Address July 23, 2024

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3602617848)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2024

Dentist (license number reported to NPPES: WA DE61571928)

βœ…
NPI Profile Active February 27, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 27, 2024

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981950001 (Tel: 2065430903)

πŸ“
Business Mailing Address (Initial Record) February 27, 2024

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981956365 (Tel: 2065430903)

πŸ‘€
Provider Name / Credentials (Initial Record) February 27, 2024

Recorded as SERENA XU, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 27, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356107288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2024
Last Update: July 23, 2024
Sole Proprietor: No

Other Dentist - General Practices in Longview

All Dentist - General Practices in Longview

Mailing Address

1057 12th Ave

Longview, WA 986322509

Phone: 3602617848

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.