Organization Active NPI

Brien Hsu DDS Inc

  • Dentist
  • Rancho Cucamonga, CA
National Provider Identifier
1174915664
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47485 Issued in CA
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

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Dr. Brien Hsu, DDSNPI 1356428643
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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150815000018 CA DME Supplier - Oral Surgery - Dentist 7214242510 Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.