Individual provider Active NPI

Judy Hsu, DDS

  • Dentist
  • Oakland, FL
National Provider Identifier
1124285820
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.028108 Issued in OH
Practice address
301 S Tubb St Ste D2
Oakland, FL 34760-8859
Phone
(407) 347-2166
Fax
(407) 347-2566
NPI assigned
May 20, 2008
Last updated
Apr 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3701 AR
Dentist 122300000X 30.028108 OH Primary
Dentist 122300000X 13532 MD
Dentist 122300000X 19631 FL

Addresses

Primary practice location

301 S Tubb St Ste D2
Oakland, FL 34760-8859

Mailing address

10450 Turkey Lake Rd Unit 690204
Orlando, FL 32869-7511
Phone (410) 608-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170523001864 FL Order and Referring Only - DentistPractitioner - Oral SurgeryPractitioner - Dentist 7214204239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3701ARMDDentist
19631FLMDDentist
13532MDMDDentist
30.028108OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Dental P.a. Dentist PastSince Jun 22, 2021 Accepting new patients
Coast Dental P.a. Dentist Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775347200000",
    "number": "1124285820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 TURKEY LAKE RD UNIT 690204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328697511",
            "telephone_number": "410-608-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S TUBB ST STE D2",
            "city": "OAKLAND",
            "state": "FL",
            "postal_code": "347608859",
            "telephone_number": "407-347-2166",
            "fax_number": "407-347-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3701",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.028108",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13532",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "19631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, FL

Sources for this page

Verify at the official NPI Registry.