Active NPI
Kelvin A. Tse, D.D.S.
- General Practice Dentistry
- Citrus Heights, CA
National Provider Identifier
1255343414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37975
- Practice address
- 7916 Pebble Beach Dr
Suite #103
Citrus Heights, CA 95610-7790 - Phone
- (916) 967-8888
- Fax
- (916) 966-4501
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37975 | CA | Primary |
Addresses
Primary practice location
7916 Pebble Beach Dr
Suite #103
Citrus Heights, CA 95610-7790
Mailing address
7916 Pebble Beach Dr
Suite #103
Citrus Heights, CA 95610-7790
Phone (916) 967-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 648510 | Other | CA | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37975 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255343414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7916 PEBBLE BEACH DR",
"address_2": "SUITE #103",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107790",
"telephone_number": "916-967-8888",
"fax_number": "916-966-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7916 PEBBLE BEACH DR",
"address_2": "SUITE #103",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107790",
"telephone_number": "916-967-8888",
"fax_number": "916-966-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSE",
"first_name": "KELVIN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "37975",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "648510",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
- Jacquis Lamont Trodder
- Carl Trubschenck, D.D.S.
- True Care Behavioral Solutions of Northern California Inc.
- True Care Home Health of Northern California, Inc
- True Care Hospice of Northern California, Inc.
- Ami Kathleen Tucker, NP
- Renata G Tuleshkov
- Tiffany Turk, OT
- Joanne E Turner
- Kendra Nicole Turner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.