Michael Siu, DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL SIU, DDS, INC

Doing business as

Michael Siu, DDS

Practice address

334 Dutton Ave
San Leandro, CA 94577-2806

Phone

(415) 637-6112

NPI assigned

Dec 14, 2020

Organization subpart

No

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

Authorized official

Name

Michael Siu, DDSNPI 1548772221

Title

General Dentist/President

Phone

(415) 637-6112

Specialties & licenses 1

Addresses

Other names 1

• Michael Siu, DDS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Siu, DDS

  • Dentist
  • San Leandro, CA
  • NPI 1548772221
  NPD Authorized official

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1073109138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 DUTTON AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772806",
            "telephone_number": "415-637-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 DUTTON AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772806",
            "telephone_number": "415-637-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SIU, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "SIU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "415-637-6112",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Siu, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Jennifer Meyers, LMFT
• Jasmine Meza
• Mariah Meza
• Sulynn Bian Miao
• Michael a. Stein DPM
• Joemar E Michel
• Zhanine Miggins
• Mike Chang DDS Inc
• Mario Soriben Milan Jr.
• Monica Kimberly Mile-Wrona

• Dental Clinic/Center in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.