Individual provider Active NPI

Eric Chang Hsu, DDS

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1639702384
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS105442 Issued in CA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DDS105442CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Eric C Hsu DDS Corp General Practice CurrentSince Apr 9, 2024 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.

Verify at the official NPI Registry.