Individual provider Active NPI

Haydee Mojica Campos, DDS, BS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1215449277
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44614 Issued in CA
Practice address
3580 California St Ste 204
San Francisco, CA 94118-1717
Phone
(415) 563-2022
Fax
(844) 863-1211
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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 44614 CA Primary

Addresses

Primary practice location

3580 California St Ste 204
San Francisco, CA 94118-1717

Mailing address

14 Lapham Way
San Francisco, CA 94112-4537
Phone (415) 577-4358

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
44614CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1215449277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LAPHAM WAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941124537",
            "telephone_number": "415-577-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 CALIFORNIA ST STE 204",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181717",
            "telephone_number": "415-563-2022",
            "fax_number": "844-863-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "HAYDEE",
        "middle_name": "MOJICA",
        "name_prefix": "Dr.",
        "credential": "DDS, BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44614",
            "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 Oct 31, 2017; 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.