Active NPI
Brien Hsu DDS Inc
- Dentist
- Rancho Cucamonga, CA
National Provider Identifier
1174915664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47485
- Legal business name
- BRIEN HSU DDS INC
- Practice address
- 11458 Kenyon Way
Suite 120
Rancho Cucamonga, CA 91701-9219 - Phone
- (909) 941-2811
- Fax
- (909) 941-7271
- NPI assigned
- Feb 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brien Hsu, DDS
- Title
- Owner
- Phone
- (909) 941-2811
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47485 | CA | Primary |
Addresses
Primary practice location
11458 Kenyon Way
Suite 120
Rancho Cucamonga, CA 91701-9219
Mailing address
11458 Kenyon Way
Suite 120
Rancho Cucamonga, CA 91701-9219
Phone (909) 941-2811
Other names 1
- Comfort Care Dental
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150815000018 | CA | DME Supplier - Oral Surgery - Dentist | 7214242510 | Practice locations: Rancho Cucamonga, CA |
National Provider Directory
National Provider DirectoryLocations
11458 Kenyon Way
Ste 120
Rancho Cucamonga, CA 91701
Phone (909) 941-2811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Rancho Cucamonga, CA
- NPI 1356428643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424390400000",
"number": "1174915664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11458 KENYON WAY",
"address_2": "SUITE 120",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917019219",
"telephone_number": "909-941-2811",
"fax_number": "909-941-7271"
},
{
"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": "917019219",
"telephone_number": "909-941-2811",
"fax_number": "909-941-7271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIEN HSU DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-20",
"last_updated": "2015-02-20",
"status": "A",
"authorized_official_last_name": "HSU",
"authorized_official_first_name": "BRIEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-941-2811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "47485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Comfort Care Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.