Active NPI
Yi Ju Tsai, DDS
- Pediatric Dentistry
- Holyoke, MA
National Provider Identifier
1134570625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DL13660
- Practice address
- 230 Maple St
Holyoke, MA 01040 - Phone
- (413) 433-2200
- Fax
- (413) 533-6375
- NPI assigned
- Jun 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DL13660 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
230 Maple St
Holyoke, MA 01040
Mailing address
230 Maple St Ste 1
Holyoke, MA 01040-5140
Phone (347) 433-2179
Other practice location 1
1919 7th Ave S
Birmingham, AL 35233-2005
Phone (347) 433-2179
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
| License | State | Type | Specialty |
|---|---|---|---|
| DL13660 | MA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1134570625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 MAPLE ST STE 1",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010405140",
"telephone_number": "347-433-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 MAPLE ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "01040",
"telephone_number": "413-433-2200",
"fax_number": "413-533-6375"
}
],
"practiceLocations": [
{
"address_1": "1919 7th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352332005",
"country_code": "US",
"telephone_number": "347-433-2179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSAI",
"first_name": "YI JU",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-26",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "DL13660",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.