Individual provider Active NPI

Theodore V Tso, D.M.D.

  • Prosthodontics
  • Cleveland, OH
National Provider Identifier
1285040980
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
30.027372 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-2527
Phone
(626) 215-3907
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DL12713 MA
Prosthodontics 1223P0700X DDS100123 CA
Prosthodontics 1223P0700X 30.027372 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-2527

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001

Other practice location 1

627 Fremont Ave
South Pasadena, CA 91030-2527
Phone (626) 799-6255

Other practice location 2

188 Longwood Ave
Boston, MA 02115-5819
Phone (617) 432-1434

Other practice location 3

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

Other names 1

  • Dr. Ted V Tso Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190627001949 CA Practitioner - Dentist 2769716521 Reassigns benefits to 2 organizations
I20240222001416 OH Practitioner - Prosthodontics 2769716521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Prosthodontics
Education
Univ of Pennsylvania School of Dental Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS100123CAMDProsthodontist
DL12713MAMDProsthodontist
30.027372OHMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jan 27, 2022 Accepting new patients
County of Los Angeles CurrentSince Jan 27, 2022 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Feb 1, 2024 Accepting new patients
City of Hope Medical Foundation CurrentSince Jun 28, 2019 Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: direct@cityofhope.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1285040980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "fax_number": "216-445-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441952527",
            "telephone_number": "626-215-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 Fremont Ave",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910302527",
            "country_code": "US",
            "telephone_number": "626-799-6255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155819",
            "country_code": "US",
            "telephone_number": "617-432-1434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Duarte Rd",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "910103012",
            "country_code": "US",
            "telephone_number": "626-256-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSO",
        "first_name": "THEODORE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DL12713",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "DDS100123",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30.027372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TED",
            "last_name": "TSO",
            "middle_name": "V",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.