Jack M Tsai DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JACK M TSAI DMD INC

Practice address

24901 Santa Clara St # B2
Hayward, CA 94544-2147

Phone

(732) 771-6127

NPI assigned

Jun 26, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jack Tsai, DMDNPI 1013147438

Title

Ceo

Phone

(732) 771-6127

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jack M. Tsai, D.M.D.

  • General Practice Dentistry
  • Hayward, CA
  • NPI 1013147438
  NPD Authorized official

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1417574385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24901 SANTA CLARA ST STE 2",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442147",
            "telephone_number": "510-887-6835",
            "fax_number": "510-887-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 SANTA CLARA ST # B2",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442147",
            "telephone_number": "732-771-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK M TSAI DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-771-6127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Islas
• Monique Danielle Ison
• Rodney K. Ito, DDS, MS
• Maki Itoi
• Rebecca Ives
• Amari Jackson
• Chaim Jackson
• Delisa Jackson, NP
• Floyd Jackson III
• Josephine Elizabeth Jackson

• General Practice Dentistry in Hayward, CA
• Providers in Hayward, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.