Organization Active NPI

Serena Hsu DDS Ms a Professional Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1114003670
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
41090 Issued in CA
Legal business name
SERENA HSU DDS MS A PROFESSIONAL CORPORATION
Practice address
11458 Kenyon Way
Suite 120
Rancho Cucamonga, CA 91701
Phone
(909) 941-2811
NPI assigned
Oct 27, 2006
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Ms. Serena Hsu, D.D.S., M.S.
Title
President, Orthodontist
Phone
(909) 941-2811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 41090 CA Primary

Addresses

Primary practice location

11458 Kenyon Way
Suite 120
Rancho Cucamonga, CA 91701

Mailing address

P.O. Box 273
Verdugo City, CA 91046
Phone (909) 941-2811

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1114003670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 273",
            "city": "VERDUGO CITY",
            "state": "CA",
            "postal_code": "91046",
            "telephone_number": "909-941-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11458 KENYON WAY",
            "address_2": "SUITE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91701",
            "telephone_number": "909-941-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENA HSU DDS MS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "PRESIDENT, ORTHODONTIST",
        "authorized_official_telephone_number": "909-941-2811",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "41090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.