King Street Dental, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KING STREET DENTAL, INC.

Practice address

170 King St Ste 105
San Francisco, CA 94107-4914

Phone

(415) 347-3817

Fax

(888) 343-3817

NPI assigned

Feb 21, 2013

Last updated

Feb 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria De Los Reyes, DDS

Title

President

Phone

(415) 347-3817

Specialties & licenses 1

Addresses

Other names 1

• De los Reyes King St. Dental, Inc. Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Chuapoco De Los Reyes, DDS

  • Dentist
  • San Francisco, CA
  • NPI 1073727780
  NPD (past)
• Jung Sun Han, DDS

  • Periodontics
  • San Francisco, CA
  • NPI 1881856383
  NPD (past)

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1285974600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 KING ST STE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074914",
            "telephone_number": "415-347-3817",
            "fax_number": "888-343-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KING ST STE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074914",
            "telephone_number": "415-347-3817",
            "fax_number": "888-343-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING STREET DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DE LOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-347-3817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "De los Reyes King St. Dental, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maxime Kinet, M.D.
• Kinetic Health Systems
• King and Clarke Physical Therapy P.C. (KSF Physical Therapy)
• Felicia Ann King Arye, LCSW
• Shauna Renee King Hollis, PMHNP
• Alizay Diamond King, LVN
• Betty C King, MSN-FNP
• Brian M King, PT, DPT
• Cameron Richard King
• Dejeiner Phylicia King

• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.