Individual provider Active NPI

Chung Chien Hsia, DMD

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1649725482
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32212 Issued in TX
Practice address
2750 W Northwest Hwy Ste 210
Dallas, TX 75220-4779
Phone
(321) 946-4688
NPI assigned
Aug 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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 32212 TX Primary

Addresses

Primary practice location

2750 W Northwest Hwy Ste 210
Dallas, TX 75220-4779

Mailing address

4573 Lake Shore Dr
Waco, TX 76710-1814
Phone (254) 339-1339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 6, 2017 through Sep 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32212TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Dentist Near Me in Waco PLLC General Practice PastSince Apr 20, 2024 Accepting new patients
Spring Valley Crossing Dental, P.a. General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1649725482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4573 LAKE SHORE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767101814",
            "telephone_number": "254-339-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W NORTHWEST HWY STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204779",
            "telephone_number": "321-946-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIA",
        "first_name": "CHUNG CHIEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-22",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.