Individual provider Active NPI

Ronald Hsien-Jung Hsu, D.D.S.

  • Pediatric Dentistry
  • Camas, WA
National Provider Identifier
1629198122
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D10172 Issued in WA
Practice address
2115 SE 192ND Ave Ste 106
Camas, WA 98607-7444
Phone
(360) 216-1130
Fax
(360) 216-1125
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D10172 WA Primary

Addresses

Primary practice location

2115 SE 192ND Ave Ste 106
Camas, WA 98607-7444

Mailing address

2115 SE 192ND Ave Ste 106
Camas, WA 98607-7444
Phone (360) 216-1130

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
D10172WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald H. Hsu, DDS, Ms, PLLC Pediatric Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dr.hsu@storybook-dental.direct.kno2fy.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1629198122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SE 192ND AVE STE 106",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077444",
            "telephone_number": "360-216-1130",
            "fax_number": "360-216-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SE 192ND AVE STE 106",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077444",
            "telephone_number": "360-216-1130",
            "fax_number": "360-216-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "RONALD",
        "middle_name": "HSIEN-JUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "D10172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.