NPIMap

Organization Active NPI

Richard Hsu, DM., PC

  • Pediatric Dentistry
  • Beaverton, OR
National Provider Identifier
1386985489
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D7667 Issued in OR
Legal business name
RICHARD HSU, DM., PC
Practice address
1789 NW 173Rd Ave
Beaverton, OR 97006-4817
Phone
(503) 614-1177
Fax
(503) 629-5608
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Richard Hsu, DMDNPI 1174677256
Title
Owner
Phone
(503) 614-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X D7667 OR Primary

Addresses

Primary practice location

1789 NW 173Rd Ave
Beaverton, OR 97006-4817

Mailing address

1789 NW 173Rd Ave
Beaverton, OR 97006-4817
Phone (503) 614-1177

Other names 1

  • The Shoebox Pediatric Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1789 NW 173rd Ave
Beaverton, OR 97006
Phone (503) 614-1177

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1386985489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 NW 173RD AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064817",
            "telephone_number": "503-614-1177",
            "fax_number": "503-629-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 NW 173RD AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064817",
            "telephone_number": "503-614-1177",
            "fax_number": "503-629-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD HSU, DM., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-614-1177",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D7667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shoebox Pediatric Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.