NPIMap

Organization Active NPI

Richmond Dental Care

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1124144332
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40751 Issued in CA
Legal business name
RICHMOND DENTAL CARE
Practice address
4312 Geary Blvd
San Francisco, CA 94118-3004
Phone
(415) 752-5605
Fax
(415) 752-8597
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Yuri Undorf, D.D.S.NPI 1245436880
Title
President
Phone
(415) 752-5605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 40751 CA Primary

Addresses

Primary practice location

4312 Geary Blvd
San Francisco, CA 94118-3004

Mailing address

4312 Geary Blvd
San Francisco, CA 94118-3004
Phone (415) 752-5605

National Provider Directory

National Provider Directory

Locations

4312 Geary Blvd
San Francisco, CA 94118
Phone (415) 752-5605

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1124144332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183004",
            "telephone_number": "415-752-5605",
            "fax_number": "415-752-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183004",
            "telephone_number": "415-752-5605",
            "fax_number": "415-752-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "UNDORF",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-752-5605",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40751",
            "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 Jul 22, 2008; 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.