Individual provider Active NPI

Richard Tsu-Hsun Kao, D.D.S., PH.D

  • Periodontics
  • Cupertino, CA
National Provider Identifier
1235206442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
30910 Issued in CA
Practice address
10440 S de Anza Blvd
Ste. #D-1
Cupertino, CA 95014-3018
Phone
(408) 252-8877
Fax
(408) 252-9596
NPI assigned
Nov 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 30910 CA Primary

Addresses

Primary practice location

10440 S de Anza Blvd
Ste. #D-1
Cupertino, CA 95014-3018

Mailing address

10440 S de Anza Blvd
Ste. #D-1
Cupertino, CA 95014-3018
Phone (408) 252-8877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709002961 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3072825629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235206442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 S DE ANZA BLVD",
            "address_2": "STE. #D-1",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143018",
            "telephone_number": "408-252-8877",
            "fax_number": "408-252-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 S DE ANZA BLVD",
            "address_2": "STE. #D-1",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143018",
            "telephone_number": "408-252-8877",
            "fax_number": "408-252-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "RICHARD",
        "middle_name": "TSU-HSUN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "30910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.