Jadiette Tsan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35177 Issued in TX

Practice address

2947 S Buckner Blvd Ste 100
Dallas, TX 75227-6953

Phone

(214) 381-3800

NPI assigned

Jun 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 12, 2019 through Sep 12, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Buckner Market Place Dental, P.a.

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1023166220
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1225699895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 HAWAII DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750446722",
            "telephone_number": "214-604-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 S BUCKNER BLVD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276953",
            "telephone_number": "214-381-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAN",
        "first_name": "JADIETTE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pei-Chun Tsai
• Peter Tzu-Shin Tsai, MD
• Ray Tsai, MD
• Salina Doris Tsai, M.D.
• Shirling Tsai, M.D.
• Ashley Jifan Tsang
• Elvis Tsang, MD
• Hoi See Tsao, MD
• Michael Tsao
• TSC Anesthesia PLLC

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.