Active NPI
Kapil Deepak Kirpekar, DDS
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1003121880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 108873
- Practice address
- 2494 Mission St
San Francisco, CA 94110-2415 - Phone
- (415) 873-8225
- NPI assigned
- Aug 17, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25869 | TX | |
| General Practice Dentistry | 1223G0001X | 59448 | CA | |
| General Practice Dentistry | 1223G0001X | 108873 | CA | Primary |
Addresses
Primary practice location
2494 Mission St
San Francisco, CA 94110-2415
Mailing address
2494 Mission St
San Francisco, CA 94110-2415
Phone (415) 872-1836
Other practice location 1
6914 Fm 78
Suite 108
San Antonio, TX 78244-1771
Phone (888) 988-4066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20150808015901 | TX | Order and Referring Only - Oral Surgery | 6406160159 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108873 | CA | MD | General Practice Dentistry |
| 59448 | CA | MD | General Practice Dentistry |
| 25869 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familia Dental BC PPLC | General Practice | Past | Accepting new patients |
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": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1003121880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2494 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102415",
"telephone_number": "415-872-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2494 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102415",
"telephone_number": "415-873-8225"
}
],
"practiceLocations": [
{
"address_1": "6914 Fm 78",
"address_2": "Suite 108",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782441771",
"country_code": "US",
"telephone_number": "888-988-4066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRPEKAR",
"first_name": "KAPIL",
"middle_name": "DEEPAK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-17",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25869",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "59448",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "108873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.