Individual provider Active NPI

Ching Tsai, DDS

  • Dentist
  • Merced, CA
National Provider Identifier
1780163063
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104818 Issued in CA
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

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180906003150 NM Order and Referring Only - DentistPractitioner - Dentist 9931459203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104818CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ching Tsai DDS Inc Dentist Current Accepting new patients
Familia Dental Ros LLC PastSince Jun 27, 2021 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.

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

Verify at the official NPI Registry.