Individual provider Active NPI

Jessica Kee Hsieh, DDS, MDSC, FACP

  • Prosthodontics
  • Oklahoma City, OK
National Provider Identifier
1770923005
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
39 Issued in OK
Practice address
9400 Broadway Extension Suite 150
Oklahoma City, OK 73114-2215
Phone
(405) 467-9470
Fax
(405) 467-9471
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7395 OK
Prosthodontics 1223P0700X DN1857177 MA
Prosthodontics 1223P0700X 63030 CA
Prosthodontics 1223P0700X 39 OK Primary

Addresses

Primary practice location

9400 Broadway Extension Suite 150
Oklahoma City, OK 73114-2215

Mailing address

4101 James Drive
Tinker Afb, OK 73145-5019
Phone (626) 731-9838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160401000540 CT Order and Referring Only - DentistPractitioner - Dentist 1355648577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7395OKMDMental Health Counselor
39OKMDEndodontist
DN1857177MAMDProsthodontist
63030CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1770923005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 JAMES DRIVE",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "731455019",
            "telephone_number": "626-731-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BROADWAY EXTENSION SUITE 150",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142215",
            "telephone_number": "405-467-9470",
            "fax_number": "405-467-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "JESSICA",
        "middle_name": "KEE",
        "name_prefix": "Dr.",
        "credential": "DDS, MDSC, FACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7395",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1857177",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "63030",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OK",
            "license": "39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.