Organization Active NPI

Hsu Dental Clinic PLLC

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1831415199
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010147 Issued in WA
Legal business name
HSU DENTAL CLINIC PLLC
Practice address
11545 15TH Ave NE Ste 201
Seattle, WA 98125-6358
Phone
(206) 362-2456
Fax
(206) 362-3675
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Dr. Jeffrey C Hsu, D.D.S.
Title
Owner
Phone
(206) 362-2456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00010147 WA Primary

Addresses

Primary practice location

11545 15TH Ave NE Ste 201
Seattle, WA 98125-6358

Mailing address

11545 15TH Ave NE Ste 201
Seattle, WA 98125-6358
Phone (206) 362-2456

Other identifiers 1

IdentifierTypeStateIssuer
5049838MedicaidWA

Other names 1

  • Union Point Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

11545 15th Ave NE
Ste 201
Seattle, WA 98125
Phone (206) 852-2517

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1831415199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11545 15TH AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256358",
            "telephone_number": "206-362-2456",
            "fax_number": "206-362-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11545 15TH AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256358",
            "telephone_number": "206-362-2456",
            "fax_number": "206-362-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSU DENTAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-362-2456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5049838",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Point Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.