Organization Active NPI

Olivia Karla Moran DDS Inc

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1275159717
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OLIVIA KARLA MORAN DDS INC
Practice address
450 Sutter St RM 2307
San Francisco, CA 94108-4209
Phone
(415) 786-8079
NPI assigned
Jun 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2020

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

Authorized official

Name
Olivia Karla Chan Moran, DDSNPI 1265087233
Title
Owner
Phone
(415) 786-8079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

450 Sutter St RM 2307
San Francisco, CA 94108-4209

Mailing address

450 Sutter St RM 2307
San Francisco, CA 94108-4209

National Provider Directory

National Provider Directory

Locations

450 Sutter St
Rm 2307
San Francisco, CA 94108
Phone (415) 404-6644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592697600000",
    "number": "1275159717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 2307",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 2307",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084209",
            "telephone_number": "415-786-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA KARLA MORAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-21",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "OLIVIA KARLA",
        "authorized_official_middle_name": "CHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-786-8079",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jun 21, 2020; 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.