Active NPI
Chung-Ling Hsieh, D.D.S.
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1700946084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34973
- Practice address
- 4620 Convoy St
Suite G
San Diego, CA 92111-2328 - Phone
- (858) 573-1105
- Fax
- (858) 573-1107
- NPI assigned
- Dec 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34973 | CA | Primary |
Addresses
Primary practice location
4620 Convoy St
Suite G
San Diego, CA 92111-2328
Mailing address
7690 Lake Adlon Dr
San Diego, CA 92119-2518
Phone (619) 465-2008
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700946084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7690 LAKE ADLON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921192518",
"telephone_number": "619-465-2008",
"fax_number": "858-573-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 CONVOY ST",
"address_2": "SUITE G",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921112328",
"telephone_number": "858-573-1105",
"fax_number": "858-573-1107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HSIEH",
"first_name": "CHUNG-LING",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "34973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.