Individual provider Active NPI

Naomi Carolino, D.D.S.

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1104902279
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48888 Issued in CA
Practice address
9 Silliman St
Suite 2
San Francisco, CA 94134-1200
Phone
(415) 467-4726
Fax
(415) 467-9315
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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 48888 CA Primary

Addresses

Primary practice location

9 Silliman St
Suite 2
San Francisco, CA 94134-1200

Mailing address

9 Silliman St
Suite 2
San Francisco, CA 94134-1200
Phone (415) 467-4726

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 10, 2016 through Jul 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48888CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1104902279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SILLIMAN ST",
            "address_2": "SUITE 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341200",
            "telephone_number": "415-467-4726",
            "fax_number": "415-467-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SILLIMAN ST",
            "address_2": "SUITE 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341200",
            "telephone_number": "415-467-4726",
            "fax_number": "415-467-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLINO",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.