Active NPI
Rosemarie Athena Teixeira
- Dentist
- San Francisco, CA
National Provider Identifier
1144803313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS044384
- Practice address
- 3400 California St Ste 200
San Francisco, CA 94118-1863 - Phone
- (415) 567-2408
- NPI assigned
- May 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 108019 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DS044384 | PA | Primary |
Addresses
Primary practice location
3400 California St Ste 200
San Francisco, CA 94118-1863
Mailing address
121 N 2ND St Apt 311
Philadelphia, PA 19106-2015
Phone (781) 591-9668
Other practice location 1
1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone (718) 240-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108019 | CA | MD | Marriage & Family Therapist |
| DS044384 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Y. Clement Shek D.D.S. Inc. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- San Francisco, CA
- NPI 1609055912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1144803313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N 2ND ST APT 311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191062015",
"telephone_number": "781-591-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CALIFORNIA ST STE 200",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181863",
"telephone_number": "415-567-2408"
}
],
"practiceLocations": [
{
"address_1": "1 Brookdale Plz",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112123139",
"country_code": "US",
"telephone_number": "718-240-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEIXEIRA",
"first_name": "ROSEMARIE",
"middle_name": "ATHENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108019",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS044384",
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.