Individual provider Active NPI

Wennifred Sinyu Hsu, DDS

  • General Practice Dentistry
  • Hollister, CA
National Provider Identifier
1770639254
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48462 Issued in CA
Practice address
930 Sunnyslope Rd Ste B4
Hollister, CA 95023-5616
Phone
(831) 635-9000
Fax
(831) 635-9608
NPI assigned
Jan 26, 2007
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 48462 CA Primary
Acupuncturist 171100000X 18274 CA

Addresses

Primary practice location

930 Sunnyslope Rd Ste B4
Hollister, CA 95023-5616

Mailing address

930 Sunnyslope Rd Ste B4
Hollister, CA 95023-5616
Phone (831) 635-9000

Other practice location 1

1760 Airline Highway
Suite G
Hollister, CA 95023
Phone (831) 635-9000

Other identifiers 1

IdentifierTypeStateIssuer
D48462MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
48462CAMDGeneral Practice Dentistry
18274CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Wennifred S Hsu DDS Inc General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1770639254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SUNNYSLOPE RD STE B4",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235616",
            "telephone_number": "831-635-9000",
            "fax_number": "831-635-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUNNYSLOPE RD STE B4",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235616",
            "telephone_number": "831-635-9000",
            "fax_number": "831-635-9608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 Airline Highway",
            "address_2": "Suite G",
            "address_purpose": "LOCATION",
            "city": "Hollister",
            "state": "CA",
            "postal_code": "95023",
            "country_code": "US",
            "telephone_number": "831-635-9000",
            "fax_number": "831-635-9608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HSU",
        "first_name": "WENNIFRED",
        "middle_name": "SINYU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48462",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18274",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D48462",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.