Active NPI
Wilson S Hsin, D.M.D.
- General Practice Dentistry
- Boston, MA
National Provider Identifier
1588718639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15480
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0261505 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15480 | MA | MD | General 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.