Active NPI
Ching Tsai, DDS
- Dentist
- Merced, CA
National Provider Identifier
1780163063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104818
- Practice address
- 1124 W Olive Ave
Merced, CA 95348-1939 - Phone
- (209) 205-4288
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD4952 | NM | |
| Dentist | 122300000X | 104818 | CA | Primary |
Addresses
Primary practice location
1124 W Olive Ave
Merced, CA 95348-1939
Mailing address
785 Newton CT
Merced, CA 95348-9635
Phone (209) 355-6716
Other practice location 1
2600 N Main St
Roswell, NM 88201-6554
Phone (888) 988-4066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- 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 |
|---|---|---|---|---|
| I20180906003150 | NM | Order and Referring Only - Dentist | 9931459203 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104818 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ching Tsai DDS Inc | Dentist | Current | Accepting new patients |
| Familia Dental Ros LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Bakersfield, CA
- NPI 1164175600
-
- Dental Clinic/Center
- Roswell, NM
- NPI 1730472184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1780163063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 NEWTON CT",
"city": "MERCED",
"state": "CA",
"postal_code": "953489635",
"telephone_number": "209-355-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 W OLIVE AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953481939",
"telephone_number": "209-205-4288"
}
],
"practiceLocations": [
{
"address_1": "2600 N Main St",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882016554",
"country_code": "US",
"telephone_number": "888-988-4066",
"fax_number": "847-496-4850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSAI",
"first_name": "CHING",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD4952",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.