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ELLEN XIE
NPI 1104715895
Dental Hygienist in San Diego, CA

Active since June 30, 2025PECOS Enrolled
6872 SARANAC STREET, SAN DIEGO, CA 92115(619) 718-2615 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Xie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN XIE (NPI 1104715895) is an individual dental hygienist in San Diego, California, licensed in California (31477) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104715895
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameELLEN XIE
Location Address6872 SARANAC STREETSan Diego, CA 92115
Mailing Address6848 Saranac StSan Diego, CA 92115-1733
Phone(619) 718-2615
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 30, 2025
NPPES CertifiedJune 8, 2025
✔ NPI 1104715895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in CA · 31477
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
6872 SARANAC STREET, San Diego, CA 92115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Xie is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143726513
PECOS Enrollment IDI20251003002340
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Xie's NPI number?

The NPI number for Ellen Xie is 1104715895. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Ellen Xie located?

Ellen Xie practices at 6872 Saranac Street, San Diego, CA 92115. The listed phone number is (619) 718-2615.

What is Ellen Xie's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Is Ellen Xie enrolled in Medicare?

Yes. Ellen Xie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Xie was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.