Active NPI
Richard Yee Hernandez, DDS
- Prosthodontics
- Scottsdale, AZ
National Provider Identifier
1194019638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- D009285
- Practice address
- 9097 E Desert Cove Ave
Suite 240
Scottsdale, AZ 85260-6279 - Phone
- (480) 661-6541
- NPI assigned
- Jun 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D009285 | AZ | |
| Prosthodontics | 1223P0700X | D009285 | AZ | Primary |
| General Practice Dentistry | 1223G0001X | D009285 | AZ | |
| Dentist | 122300000X | D009285 | AZ |
Addresses
Primary practice location
9097 E Desert Cove Ave
Suite 240
Scottsdale, AZ 85260-6279
Mailing address
9097 E Desert Cove Ave
Suite 240
Scottsdale, AZ 85260-6279
Phone (480) 661-6541
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01198325 | Other | MN | RAILROAD MEDICARE |
| ENROLLED | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170420001036 | AZ | Order and Referring Only - Maxillofacial Surgery | 8224201249 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D009285 | AZ | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice W. Hsieh, DDS, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1194019638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE AVE",
"address_2": "SUITE 240",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606279",
"telephone_number": "480-661-6541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE AVE",
"address_2": "SUITE 240",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606279",
"telephone_number": "480-661-6541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "RICHARD",
"middle_name": "YEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-01",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "AZ",
"license": "D009285",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "AZ",
"license": "D009285",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D009285",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D009285",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01198325",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.