Active NPI
Eric Chang Hsu, DDS
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1639702384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS105442
- Practice address
- 5665 Freeport Blvd Ste 6
Sacramento, CA 95822-3517 - Phone
- (916) 427-2002
- Fax
- (916) 427-2003
- NPI assigned
- Feb 20, 2020
- Last updated
- Apr 2, 2024
- 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 | DDS105442 | CA | Primary |
Addresses
Primary practice location
5665 Freeport Blvd Ste 6
Sacramento, CA 95822-3517
Mailing address
5665 Freeport Blvd Ste 6
Sacramento, CA 95822-3517
Phone (916) 427-2002
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 |
|---|---|---|---|
| DDS105442 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric C Hsu DDS Corp | General Practice | Current | Accepting new patients |
Locations
5665 Freeport Blvd
Ste 6
Sacramento, CA 95822
Phone (916) 427-2002
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1639702384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 FREEPORT BLVD STE 6",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958223517",
"telephone_number": "916-427-2002",
"fax_number": "916-427-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 FREEPORT BLVD STE 6",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958223517",
"telephone_number": "916-427-2002",
"fax_number": "916-427-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HSU",
"first_name": "ERIC",
"middle_name": "CHANG",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-20",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS105442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.