Active NPI
Tailee Mario Tse, DDS
- Dentist
- Pasadena, CA
National Provider Identifier
1437277266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 32193
- Practice address
- 1060 E Green St
Suite # 208
Pasadena, CA 91106-2413 - Phone
- (626) 793-9109
- Fax
- (626) 793-9153
- NPI assigned
- Mar 27, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 32193 | CA | Primary |
Addresses
Primary practice location
1060 E Green St
Suite # 208
Pasadena, CA 91106-2413
Mailing address
2940 Monterey Rd
San Marino, CA 91108-1734
Phone (626) 441-4891
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160224002201 | CA | Order and Referring Only - Dentist | 7012212319 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437277266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 MONTEREY RD",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911081734",
"telephone_number": "626-441-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 E GREEN ST",
"address_2": "SUITE # 208",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062413",
"telephone_number": "626-793-9109",
"fax_number": "626-793-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSE",
"first_name": "TAILEE",
"middle_name": "MARIO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "32193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.