NPIMap

Organization Active NPI

Loo, Hsiao, & Tsai, a Professional Corporation

Doing business as California Dental Specialties

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Garden Grove, CA
National Provider Identifier
1649599523
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
45269 Issued in CA
Legal business name
LOO, HSIAO, & TSAI, A PROFESSIONAL CORPORATION
Doing business as
California Dental Specialties
Practice address
12828 Harbor Blvd
350
Garden Grove, CA 92840-5831
Phone
(714) 530-9801
Fax
(714) 530-7824
NPI assigned
May 18, 2010
Last updated
May 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Matthew Tsai, DDSNPI 1306070727
Title
Ceo
Phone
(562) 424-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 45489 CA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
California Dental Specialties4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12828 Harbor Blvd
Ste 350
Garden Grove, CA 92840
Phone (714) 530-9801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.