Individual provider Active NPI

Willis Wei Hsieh, DMD

  • General Practice Dentistry
  • Hacienda Heights, CA
National Provider Identifier
1073165981
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103975 Issued in CA
Practice address
2020 S Hacienda Blvd Ste a
Hacienda Heights, CA 91745-4265
Phone
(626) 336-2588
Fax
(626) 336-3337
NPI assigned
Jul 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 103975 CA Primary

Addresses

Primary practice location

2020 S Hacienda Blvd Ste a
Hacienda Heights, CA 91745-4265

Mailing address

2020 S Hacienda Blvd Ste a
Hacienda Heights, CA 91745-4265
Phone (626) 336-2588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103975CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1073165981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S HACIENDA BLVD STE A",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454265",
            "telephone_number": "626-336-2588",
            "fax_number": "626-336-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S HACIENDA BLVD STE A",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454265",
            "telephone_number": "626-336-2588",
            "fax_number": "626-336-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "WILLIS",
        "middle_name": "WEI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.