Mat Kiisk, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20549 Issued in CA

Practice address

3100 19TH Ave
San Francisco, CA 94132-2006

Phone

(415) 584-2537

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265504997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OAKHURST RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015256",
            "telephone_number": "415-721-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 19TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941322006",
            "telephone_number": "415-584-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIISK",
        "first_name": "MAT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "20549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Kierein, PSYD
• Sharon Kiesler
• Curtis A. Kiest, MD
• Betelhem Negash Kifle, MD
• Rachel Wangeci Kigano, PMHNP-BC
• Puchong Kijchareonvisal
• Alexander Kikuchi, MD, PHD
• Camilla Waldum Kilbane, MD
• Jessica Ann Kilborn, MA, LMFT
• Diane R Kile, RN

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• 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.