Organization Active NPI

Jeffrey C. Hsu PLLC

  • Dentist
  • Forks, WA
National Provider Identifier
1598056996
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10147 Issued in WA
Legal business name
JEFFREY C. HSU PLLC
Practice address
430 Terra Eden St
Forks, WA 98331-9604
Phone
(360) 374-6868
Fax
(360) 374-6870
NPI assigned
Apr 20, 2011
Last updated
Apr 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Karen Crouse, CPA
Title
Accountant
Phone
(360) 457-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10147 WA Primary

Addresses

Primary practice location

430 Terra Eden St
Forks, WA 98331-9604

Mailing address

430 Terra Eden St
Forks, WA 98331-9604
Phone (360) 374-6868

Other names 1

  • SPLENDENT Other name

National Provider Directory

National Provider Directory

Locations

430 Terra Eden St
Forks, WA 98331
Phone (360) 374-2050

Practitioners & affiliated clinicians

Practitioners 1

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": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1598056996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 TERRA EDEN ST",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983319604",
            "telephone_number": "360-374-6868",
            "fax_number": "360-374-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 TERRA EDEN ST",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983319604",
            "telephone_number": "360-374-6868",
            "fax_number": "360-374-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C. HSU PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "CROUSE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "360-457-3303",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "10147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPLENDENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Forks, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.