KATHERINE K TSE DDS
NPI 1659003630
Dentist - Pediatric Dentistry in Oakland, CA

Active since June 28, 2022PECOS Enrolled
4881 TELEGRAPH AVE, OAKLAND, CA 94609(510) 428-3316 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katherine K Tse Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE K TSE DDS (NPI 1659003630) is an individual pediatric dentistry provider in Oakland, California, licensed in California (DDS111474) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1659003630
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameKATHERINE K TSECredential: DDS
Location Address4881 TELEGRAPH AVEOakland, CA 94609-2009
Mailing Address4881 Telegraph AveOakland, CA 94609-2009 · (510) 482-3316 · Fax (510) 428-3316
Sole ProprietorYes
Enumeration DateJune 28, 2022
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1659003630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · DDS111474
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4881 TELEGRAPH AVE, Oakland, CA 94609

Secondary Practice Location 1

Location 1707 Parnassus AveSan Francisco, CA 94143-2210 · Phone (415) 502-5800

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katherine K Tse Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
4881 TELEGRAPH AVE
OAKLAND, CA 94609
Dentist (Pediatric Dentistry)
4881 TELEGRAPH AVE
OAKLAND, CA 94609
Dentist (Pediatric Dentistry)
4881 TELEGRAPH AVE
OAKLAND, CA 94609
Dentist (Pediatric Dentistry)
4881 TELEGRAPH AVE
OAKLAND, CA 94609
Student in an Organized Health Care Education/Training Program
4881 TELEGRAPH AVE
OAKLAND, CA 94609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659003630, enumerated as an "individual" on June 28, 2022.

The provider is located at 4881 TELEGRAPH AVE OAKLAND, CA 94609 and the phone number is (510) 428-3316.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.