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Deactivated NPI 1750819959 Deactivated / Inactive NPI Female Practitioner

Dr. Xue Du , DDS

Dentist - General Practice • Bellevue, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Xue Du has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2017
NPI Deactivation Date January 05, 2018
Total Practice Duration ~1 Years of Practice (2017 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Xue Du, DDS was a registered Dentist - General Practice practicing in Bellevue, WA. Throughout an active medical career spanning 1 years, Dr. Du provided care at the practice location at 15613 BEL RED RD STE C until profile deactivation on 2018-01-05.

Practice Location & Contact Primary Location

Practice Address

15613 Bel Red Rd Ste C

Bellevue, WA 980082348

Telephone 4258697560
Fax 4258697699
Associated Practice Facility / Clinic
🏢 Ideal Smiles Dental Care Facility NPI 1679104079

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
148 Specialists

Practicing in Bellevue, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 60753532

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1545 116th Ave Ne, Suite 100, Spektor Dental

Bellevue, WA 98004

Phone: 4254541322

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1013220086

Doctor of Dental Surgery

NPI 1154434538

Doctor of Dental Surgery

Dr. Susan Labounty , DDS

Dentist - General Practice

NPI 1275583957

Doctor of Dental Surgery

Dr. Emina Vallius , DDS

Dentist - General Practice

NPI 1982488631

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location April 29, 2020

Registered at 15613 BEL RED RD STE C, BELLEVUE, WA 980082348 (Tel: 4258697560)

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Updated Business Mailing Address April 29, 2020

Registered at 15613 BEL RED RD STE C, BELLEVUE, WA 980082348 (Tel: 4258697560)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2020

Dentist (License #60753532 in WA)

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Updated Practice Location January 16, 2018

Registered at 1545 116TH AVE NE, SUITE 100, SPEKTOR DENTAL, BELLEVUE, WA 98004 (Tel: 4254541322)

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Updated Business Mailing Address January 16, 2018

Registered at 1840 25TH AVE NE, APT 304, ISSAQUAH, WA 98029

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Provider Name / Credentials Updated January 16, 2018

Recorded as XUE DU, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2018

Student in an Organized Health Care Education/Training Program

🔄
NPI Profile Reactivated January 11, 2018

Record officially reactivated for active practice on January 11, 2018

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NPI Profile Deactivated January 05, 2018

Record deactivated on January 05, 2018

NPI Profile Active June 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2017

Registered at 1545 116TH AVE NE, BELLEVUE, WA 98004 (Tel: 4254541322)

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Updated Business Mailing Address June 01, 2017

Registered at 1545 116TH AVE NE, BELLEVUE, WA 98004

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Provider Name / Credentials Updated June 01, 2017

Recorded as XUE DU, (STUDENT) - D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2017

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration June 01, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750819959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2017
Last Update: April 29, 2020
Deactivation Date: January 05, 2018
Sole Proprietor: No

Mailing Address

15613 Bel Red Rd Ste C

Bellevue, WA 980082348

Phone: 4258697560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.