Individual provider Active NPI

Dorothy Gogol-Mach, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1215041561
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32837 Issued in CA
Practice address
4 Embarcadero Ctr
Lobby Level / Dental Office
San Francisco, CA 94111-5900
Phone
(415) 576-9800
Fax
(415) 576-1345
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32837 CA Primary

Addresses

Primary practice location

4 Embarcadero Ctr
Lobby Level / Dental Office
San Francisco, CA 94111-5900

Mailing address

4 Embarcadero Ctr
Lobby Level / Dental Office
San Francisco, CA 94111-5900
Phone (415) 576-9800

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

LicenseStateTypeSpecialty
32837CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215041561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EMBARCADERO CTR",
            "address_2": "LOBBY LEVEL / DENTAL OFFICE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115900",
            "telephone_number": "415-576-9800",
            "fax_number": "415-576-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EMBARCADERO CTR",
            "address_2": "LOBBY LEVEL / DENTAL OFFICE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115900",
            "telephone_number": "415-576-9800",
            "fax_number": "415-576-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGOL-MACH",
        "first_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32837",
            "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 8, 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.

Verify at the official NPI Registry.