Clint Kohichiro Taura, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63955 Issued in CA

Practice address

1788 Sutter St Ste 201
San Francisco, CA 94115-3218

Phone

(415) 563-2000

NPI assigned

Sep 24, 2014

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clint K Taura DDS PC

  • Dental Clinic/Center
  • San Francisco, CA
  • NPI 1740884691
  NPD Authorized official

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1265834923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 SUTTER ST STE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153218",
            "telephone_number": "415-563-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 SUTTER ST STE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153218",
            "telephone_number": "415-563-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAURA",
        "first_name": "CLINT",
        "middle_name": "KOHICHIRO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-24",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel O. Taube, PHD
• Debra Taube, LMFT
• Jordan Tauber-Marshall
• Ingrid Diane Tauber, PH.D.
• Munty Taulealo
• Brian Keith Taussig, PA-C, MPH
• Nicolas Armando Tautiva, MD
• Horepa Monique Tautolo
• Jahan Tavakoli, M.D.
• Nioosha Tavallaei

• 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 Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.