Tiffany Hsu Ham, D.D.S., M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

54878 Issued in CA

Practice address

355 Lennon LN
#215
Walnut Creek, CA 94598-2475

Phone

(925) 482-6223

Fax

(925) 357-3777

NPI assigned

Jun 1, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Tiffany Huey Hsu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1972822989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 LENNON LN",
            "address_2": "#215",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982475",
            "telephone_number": "925-482-6223",
            "fax_number": "925-357-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 LENNON LN",
            "address_2": "#215",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982475",
            "telephone_number": "925-482-6223",
            "fax_number": "925-357-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "TIFFANY",
        "middle_name": "HSU",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "54878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HSU",
            "middle_name": "HUEY",
            "prefix": "DR.",
            "credential": "D.D.S., M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Latrice Hall, RBT
• Zya Hall
• Laura Halpin, CNC
• Shannon M Halpin, PT, DPT
• Terri Halstenrud, P.T.
• Melanie Hamilton
• Judith Adrienne Hampshire, LMFT
• Theresa Hampton
• Ali Hamraz, MD
• Wajma Hamsafar, PHARMD

• Pediatric Dentistry in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.