Individual provider Active NPI

Calvin C Hsieh, DDS

  • Dentist
  • Clinton TWP., MI
National Provider Identifier
1003993973
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018885 1602343 Issued in MI
Practice address
35939 Moravian Drive
Clinton TWP., MI 48305
Phone
(586) 790-8668
Fax
(586) 790-8631
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018885 1602343 MI Primary

Addresses

Primary practice location

35939 Moravian Drive
Clinton TWP., MI 48305

Mailing address

35939 Moravian Drive
Clinton TWP., MI 48305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018885 1602343MIMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1003993973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35939 MORAVIAN DRIVE",
            "city": "CLINTON TWP.",
            "state": "MI",
            "postal_code": "48305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35939 MORAVIAN DRIVE",
            "city": "CLINTON TWP.",
            "state": "MI",
            "postal_code": "48305",
            "telephone_number": "586-790-8668",
            "fax_number": "586-790-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "CALVIN",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018885 1602343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP., MI

Sources for this page

Verify at the official NPI Registry.