Catherine Desimini, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

107333 Issued in CA

Practice address

1215 Mission Rd
South San Francisco, CA 94080-1397

Phone

(543) 765-0871

NPI assigned

Nov 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Catherine Kalis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Natick Dental Partners LLP

  • Pediatric Dentistry
  • Natick, MA
  • NPI 1689711509
  NPD (past)

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1033446901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 MISSION RD",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801397",
            "telephone_number": "543-765-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 MISSION RD",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801397",
            "telephone_number": "543-765-0871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Pond St",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017604323",
            "country_code": "US",
            "telephone_number": "508-653-2417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESIMINI",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1855030",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "107333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "KALIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Demar Industries
• Kimberly Deng, PHARM.D
• Derry Way Home
• Shilpa Desai, M.D.
• Desicouch
• Usha Desiraju
• Desmarais Chiropractic, Inc.
• Ronald R Desmarais, DC
• Gabriela Diaz
• Phillip Dietrich, D.C.

• Pediatric Dentistry in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.