Individual provider Active NPI

Qian Hanna Cao, DDS

  • Dentist
  • Wellesley, MA
National Provider Identifier
1861825937
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856754 Issued in MA
Practice address
332 Washington St Ste 330
Wellesley, MA 02481-6215
Phone
(781) 237-6511
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 056668 NY
Dentist 122300000X DN1856754 MA Primary

Addresses

Primary practice location

332 Washington St Ste 330
Wellesley, MA 02481-6215

Mailing address

1313 Washington St
430
Boston, MA 02118-2152
Phone (508) 733-8804

Other practice location 1

117 Broadway
Norwood, MA 02062-3557
Phone (781) 769-0818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150611000221 MA Order and Referring Only - DentistPractitioner - Dentist 1951622356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056668NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hanna Q. Cao, DDS LLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

332 Washington St
Ste 330
Wellesley, MA 02481
Phone (781) 237-6511

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1861825937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 WASHINGTON ST",
            "address_2": "430",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182152",
            "telephone_number": "508-733-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST STE 330",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816215",
            "telephone_number": "781-237-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Broadway",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020623557",
            "country_code": "US",
            "telephone_number": "781-769-0818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAO",
        "first_name": "QIAN",
        "middle_name": "HANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056668",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.