Active NPI
Chester Y Hsu, D.D.S.
- Pediatric Dentistry
- Greensboro, NC
National Provider Identifier
1891892584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 11660
- Practice address
- 2643 Randleman Rd
Greensboro, NC 27406-5153 - Phone
- (336) 544-2758
- Fax
- (910) 338-3031
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 11660 | NC | Primary |
Addresses
Primary practice location
2643 Randleman Rd
Greensboro, NC 27406-5153
Mailing address
7807 Front Nine Dr
Stokesdale, NC 27357-9407
Phone (916) 761-6455
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B45877 | Other | CA | STATE LICENSE # |
| D45877 | Other | CA | DDHF PROVIDER # |
| G92444-01 | Other | CA | MEDI-CAL PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20180501002375 | MI | Order and Referring Only - Dentist | 2961766811 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11660 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1891892584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7807 FRONT NINE DR",
"city": "STOKESDALE",
"state": "NC",
"postal_code": "273579407",
"telephone_number": "916-761-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2643 RANDLEMAN RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274065153",
"telephone_number": "336-544-2758",
"fax_number": "910-338-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HSU",
"first_name": "CHESTER",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2021-01-22",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "11660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "B45877",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DDHF PROVIDER #",
"identifier": "D45877",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER #",
"identifier": "G92444-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.