Individual provider Active NPI

Sona Bekmezian, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Francisco, CA
National Provider Identifier
1154609840
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
59817 Issued in CA
Practice address
707 Parnassus Ave RM D1116
San Francisco, CA 94143-0753
Phone
(415) 514-1181
Fax
(415) 514-0377
NPI assigned
Jul 28, 2011
Last updated
Sep 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59817 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 59817 CA Primary

Addresses

Primary practice location

707 Parnassus Ave RM D1116
San Francisco, CA 94143-0753

Mailing address

707 Parnassus Ave RM D1116
San Francisco, CA 94143-0753
Phone (415) 514-1181

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
I20160908002699 CA Order and Referring Only - DentistPractitioner - Dentist 3577859032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59817CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1154609840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE RM D1116",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430753",
            "telephone_number": "415-514-1181",
            "fax_number": "415-514-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE RM D1116",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430753",
            "telephone_number": "415-514-1181",
            "fax_number": "415-514-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKMEZIAN",
        "first_name": "SONA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59817",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "59817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.