NPIMap

Organization Active NPI

M. Jack Hsieh, D.D.S. and Jenny C., Au, D.D.S., Inc

  • General Practice Dentistry
  • Manhattan Beach, CA
National Provider Identifier
1467479121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47093 Issued in CA
Legal business name
M. JACK HSIEH, D.D.S. AND JENNY C., AU, D.D.S., INC
Practice address
1101 N Sepulveda Blvd
Suite 200
Manhattan Beach, CA 90266-5948
Phone
(310) 545-0061
Fax
(310) 545-1569
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Min-Kwei Jack Hsieh, D.D.S.NPI 1235150830
Title
Owner
Phone
(310) 545-0061

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47093 CA Primary

Addresses

Primary practice location

1101 N Sepulveda Blvd
Suite 200
Manhattan Beach, CA 90266-5948

Mailing address

1101 N Sepulveda Blvd
Suite 200
Manhattan Beach, CA 90266-5948
Phone (310) 545-0061

National Provider Directory

National Provider Directory

Locations

1101 N Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 545-0061

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467479121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N SEPULVEDA BLVD",
            "address_2": "SUITE 200",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665948",
            "telephone_number": "310-545-0061",
            "fax_number": "310-545-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N SEPULVEDA BLVD",
            "address_2": "SUITE 200",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665948",
            "telephone_number": "310-545-0061",
            "fax_number": "310-545-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. JACK HSIEH, D.D.S. AND JENNY C., AU, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HSIEH",
        "authorized_official_first_name": "MIN-KWEI",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-545-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.