Active NPI
Katherine K Tse, DDS
- Pediatric Dentistry
- Oakland, CA
National Provider Identifier
1659003630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DDS111474
- Practice address
- 4881 Telegraph Ave
Oakland, CA 94609-2009 - Phone
- (510) 428-3316
- NPI assigned
- Jun 28, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DDS111474 | CA | Primary |
Addresses
Primary practice location
4881 Telegraph Ave
Oakland, CA 94609-2009
Mailing address
4881 Telegraph Ave
Oakland, CA 94609-2009
Phone (510) 482-3316
Other practice location 1
707 Parnassus Ave
San Francisco, CA 94143-2210
Phone (415) 502-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250730000813 | CA | Order and Referring Only - Dentist | 0143737536 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS111474 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1659003630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092009",
"telephone_number": "510-482-3316",
"fax_number": "510-428-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092009",
"telephone_number": "510-428-3316"
}
],
"practiceLocations": [
{
"address_1": "707 Parnassus Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432210",
"country_code": "US",
"telephone_number": "415-502-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSE",
"first_name": "KATHERINE",
"middle_name": "K",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "DDS111474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.