Jack M. Tsai, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103712 Issued in CA

Practice address

24901 Santa Clara St # B2
Hayward, CA 94544-2147

Phone

(510) 887-6835

NPI assigned

Jul 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jack M Tsai DMD Inc

  • General Practice Dentistry
  • Hayward, CA
  • NPI 1417574385
  NPD Authorized official
• Tsai Dental PC

  • General Practice Dentistry
  • Alameda, CA
  • NPI 1992463673
  NPD Authorized official
• Lauren Gibberman DDS PLLC

  • Dentist
  • Alexandria, VA
  • NPI 1336332832
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1013147438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24901 SANTA CLARA ST STE 2",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442147",
            "telephone_number": "510-887-6835",
            "fax_number": "510-887-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 SANTA CLARA ST # B2",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442147",
            "telephone_number": "510-887-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "JACK",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412484",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000822",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoa Xuan Truong X, DC
• Violet Olivia Truong
• Andy T Truongvinh, D.C.
• Anthony Joseph Trzupek
• Angela Tsai
• Michelle Tsai
• Ka-Yiu Tsang
• Ling Tsuei, PHARMD
• Hoangyen Thi Tu
• Lin Tu

• General Practice Dentistry in Hayward, CA
• Providers in Hayward, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.