Lily Hsin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109363 Issued in CA

Practice address

2600 S Tracy Blvd
Tracy, CA 95376-9103

Phone

(209) 836-5441

NPI assigned

Jun 22, 2023

Last updated

Sep 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1629754858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 RAVELLO WAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683238",
            "telephone_number": "212-998-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953769103",
            "telephone_number": "209-836-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIN",
        "first_name": "LILY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi A Horner, MFTI
• Jessica Horner
• Howard H Allison M.D.
• Kassandra Howser
• Marcia-Marie Hoyt
• Nelson Hu, DDS
• Jaling Hua, MD, PHD
• Eileen Wei Huang, L.AC.
• Aibar Herberto Huatuco, M.D.
• Carson Huber

• General Practice Dentistry in Tracy, CA
• Providers in Tracy, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.