Active NPI
Loo, Hsiao, & Tsai, a Professional Corporation
- Orthodontics and Dentofacial Orthopedics Dentistry
- Garden Grove, CA
National Provider Identifier
1649599523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 45269
- Legal business name
- LOO, HSIAO, & TSAI, A PROFESSIONAL CORPORATION
- Practice address
- 12828 Harbor Blvd
350
Garden Grove, CA 92840-5831 - Phone
- (714) 530-9801
- Fax
- (714) 530-7824
- NPI assigned
- May 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Tsai, DDS
- Title
- Ceo
- Phone
- (562) 424-6200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 45489 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 45269 | CA | Primary |
Addresses
Primary practice location
12828 Harbor Blvd
350
Garden Grove, CA 92840-5831
Mailing address
PO Box 93122
Long Beach, CA 90809-3122
Phone (562) 424-6200
Other names 1
- CALIFORNIA DENTAL SPECIALTIES
National Provider Directory
National Provider Directory- Tax ID family
- California Dental Specialties
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Signal Hill, CA
- NPI 1467760561
-
- Dentist
- Los Angeles, CA
- NPI 1790065761
-
- Dentist
- Van Nuys, CA
- NPI 1609156678
Locations
12828 Harbor Blvd
Ste 350
Garden Grove, CA 92840
Phone (714) 530-9801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274140800000",
"number": "1649599523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93122",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908093122",
"telephone_number": "562-424-6200",
"fax_number": "562-981-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12828 HARBOR BLVD",
"address_2": "350",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928405831",
"telephone_number": "714-530-9801",
"fax_number": "714-530-7824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOO, HSIAO, & TSAI, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-18",
"last_updated": "2010-05-18",
"status": "A",
"authorized_official_last_name": "TSAI",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-424-6200",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "45489",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "45269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CALIFORNIA DENTAL SPECIALTIES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.