Individual provider Active NPI

Kirsten Rittenbach, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Francisco, CA
National Provider Identifier
1023338670
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
58504 Issued in CA
Practice address
521 Parnassus Ave
C-522
San Francisco, CA 94143-0440
Phone
(415) 476-8226
NPI assigned
Jun 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 58504 CA Primary

Addresses

Primary practice location

521 Parnassus Ave
C-522
San Francisco, CA 94143-0440

Mailing address

1467 8TH Ave
Apartment 1
San Francisco, CA 94122-3748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 24, 2015 through Jul 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58504CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: krittenbach18981@smch.direct-ci.com

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": "1275782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1023338670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 8TH AVE",
            "address_2": "APARTMENT 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARNASSUS AVE",
            "address_2": "C-522",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430440",
            "telephone_number": "415-476-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTENBACH",
        "first_name": "KIRSTEN",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-06",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "58504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.