Individual provider Active NPI

Wilson S Hsin, D.M.D.

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1588718639
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15480 Issued in MA
Practice address
65 Harrison Ave
Suite 206 Wilson Hsin DMD
Boston, MA 02111
Phone
(781) 894-1988
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15480 MA Primary

Addresses

Primary practice location

65 Harrison Ave
Suite 206 Wilson Hsin DMD
Boston, MA 02111

Mailing address

65 Harrison Ave
Suite 206 Wilson Hsin DMD
Boston, MA 02111
Phone (781) 894-1988

Other identifiers 1

IdentifierTypeStateIssuer
0261505MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15480MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1588718639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HARRISON AVE",
            "address_2": "SUITE 206 WILSON HSIN DMD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "781-894-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HARRISON AVE",
            "address_2": "SUITE 206 WILSON HSIN DMD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "781-894-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIN",
        "first_name": "WILSON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0261505",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.