NPIMap

Organization Active NPI

University of the Pacific Arthur a. Dugoni School of Dentistry

  • Public Health Dentistry
  • San Francisco, CA
National Provider Identifier
1134256969
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY
Practice address
155 5TH St Ste 2F
Hospital Dentistry Special Care Clinic
San Francisco, CA 94103-2919
Phone
(415) 929-6617
Fax
(415) 929-6654
NPI assigned
Feb 28, 2007
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF THE PACIFICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Ed Pegueros
Title
Asst Dean, Budget & Fin Admin
Phone
(415) 351-7192

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
Public Health Dentistry 1223D0001X CA Primary
General Practice Dentistry 1223G0001X CA

Addresses

Primary practice location

155 5TH St Ste 2F
Hospital Dentistry Special Care Clinic
San Francisco, CA 94103-2919

Mailing address

155 5TH St Ste 2F
Hospital Dentistry Special Care Clinic
San Francisco, CA 94103-2919
Phone (415) 929-6617

Other identifiers 1

IdentifierTypeStateIssuer
G01001-04OtherCADENTI-CAL IDENTIFICATION

Other names 1

  • Hospital Dentistry Special Care Other name

National Provider Directory

National Provider Directory
Tax ID family
University of the Pacif29 organizations share this tax ID, including this one
Part of
University of the Pacif

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1134256969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 5TH ST STE 2F",
            "address_2": "HOSPITAL DENTISTRY SPECIAL CARE CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6617",
            "fax_number": "415-929-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 5TH ST STE 2F",
            "address_2": "HOSPITAL DENTISTRY SPECIAL CARE CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6617",
            "fax_number": "415-929-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF THE PACIFIC",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "PEGUEROS",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "ASST DEAN, BUDGET & FIN ADMIN",
        "authorized_official_telephone_number": "415-351-7192"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL IDENTIFICATION",
            "identifier": "G01001-04",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital Dentistry Special Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hospital Dentistry Special Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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, 2020; 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.