Active NPI
Marwan Y Atrouni, DDS
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1205916301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44566
- Practice address
- 369 Pine St Ste 200
San Francisco, CA 94104-3306 - Phone
- (415) 399-0609
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44566 | CA | Primary |
Addresses
Primary practice location
369 Pine St Ste 200
San Francisco, CA 94104-3306
Mailing address
369 Pine St Ste 200
San Francisco, CA 94104-3306
Phone (415) 399-0609
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1205916301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 PINE ST STE 200",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941043306",
"telephone_number": "415-399-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 PINE ST STE 200",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941043306",
"telephone_number": "415-399-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATROUNI",
"first_name": "MARWAN",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44566",
"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 Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.