Individual provider Active NPI

Jeffrey L Katz, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1063530673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23201 Issued in CA
Practice address
601 Van Ness Ave Ste 2020
San Francisco, CA 94102-6310
Phone
(415) 776-4133
Fax
(415) 776-4333
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23201 CA Primary

Addresses

Primary practice location

601 Van Ness Ave Ste 2020
San Francisco, CA 94102-6310

Mailing address

601 Van Ness Ave Ste 2020
San Francisco, CA 94102-6310
Phone (415) 776-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160707001857 CA Order and Referring Only - DentistPractitioner - Dentist 3173815321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063530673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 VAN NESS AVE STE 2020",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026310",
            "telephone_number": "415-776-4133",
            "fax_number": "415-776-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 VAN NESS AVE STE 2020",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026310",
            "telephone_number": "415-776-4133",
            "fax_number": "415-776-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.