Individual provider Active NPI

Carsen Bentley, D.D.S

  • Dentist
  • San Francisco, CA
National Provider Identifier
1245598077
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61579 Issued in CA
Practice address
155 5TH St
San Francisco, CA 94103-2919
Phone
(415) 215-3253
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6942-15 WI
Dentist 122300000X 61579 CA Primary

Addresses

Primary practice location

155 5TH St
San Francisco, CA 94103-2919

Mailing address

122 4TH Ave
San Francisco, CA 94118-1306
Phone (415) 613-6123

Other practice location 1

4214 California St
San Francisco, CA 94118-1314
Phone (415) 215-3253

Other practice location 2

160 Capp St
San Francisco, CA 94110-1210
Phone (415) 621-8056

Other practice location 3

2780 Mission St
San Francisco, CA 94110-4188
Phone (415) 215-3253

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
I20160615000358 CA Order and Referring Only - DentistPractitioner - Dentist 3173814571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6942-15WIMDDentist
61579CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Svensson DDS Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1245598077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 4TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181306",
            "telephone_number": "415-613-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-215-3253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4214 California St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941181314",
            "country_code": "US",
            "telephone_number": "415-215-3253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Capp St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941101210",
            "country_code": "US",
            "telephone_number": "415-621-8056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2780 Mission St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104188",
            "country_code": "US",
            "telephone_number": "415-215-3253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "CARSEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6942-15",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.