Organization Active NPI

Jason Tsai, DMD, PLLC

  • Dental Clinic/Center
  • Bellevue, WA
National Provider Identifier
1750958294
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JASON TSAI, DMD, PLLC
Practice address
14715 NE Bel Red Rd Ste 200
Bellevue, WA 98007-3940
Phone
(425) 641-5432
NPI assigned
Jun 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Dr. Jason Tsai, DMDNPI 1245858968
Title
Owner Dentist
Phone
(617) 869-6009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

14715 NE Bel Red Rd Ste 200
Bellevue, WA 98007-3940

Mailing address

14314 E Twinlake Dr
Wichita, KS 67230-9615
Phone (617) 869-6009

Other identifiers 1

IdentifierTypeStateIssuer
DE61140281OtherWAWA STATE DENTAL LICENSE

Other names 1

  • Complete Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

14715 NE Bel Red Rd
Ste 200
Bellevue, WA 98007
Phone (425) 641-5432

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1750958294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14314 E TWINLAKE DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672309615",
            "telephone_number": "617-869-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14715 NE BEL RED RD STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073940",
            "telephone_number": "425-641-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON TSAI, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "617-869-6009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DENTAL LICENSE",
            "identifier": "DE61140281",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.