NPIMap

Organization Active NPI

University of the Pacific Arthur a. Dugoni School,of Dentistry

  • Dentist
  • San Francisco, CA
National Provider Identifier
1295131654
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL,OF DENTISTRY
Practice address
155 5TH St
Ste 2P
San Francisco, CA 94103-2919
Phone
(415) 929-6524
NPI assigned
Nov 13, 2014
Organization subpart
Yes
Parent organization
UNIVERSITY OF THE PACIFICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Ed Pegueros
Title
Asst Dean, Budget & Fin Admin
Phone
(415) 351-7192

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X CA Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X

Addresses

Primary practice location

155 5TH St
Ste 2P
San Francisco, CA 94103-2919

Mailing address

155 5TH St
Ste 2P
San Francisco, CA 94103-2919
Phone (415) 929-6524

Other names 1

  • FACULTY DENTAL SERVICE GROUP Other name

National Provider Directory

National Provider Directory
Tax ID family
University of the Pacific Arthur a Dugoni School of Dentistry29 organizations share this tax ID, including this one
Part of
University of the Pacific Arthur a Dugoni School of Dentistry

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

155 5th St
Ste 2P
San Francisco, CA 94103
Phone (415) 929-6524

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1295131654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "address_2": "STE 2P",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "address_2": "STE 2P",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL,OF DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF THE PACIFIC",
        "enumeration_date": "2014-11-13",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "PEGUEROS",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "ASST DEAN, BUDGET & FIN ADMIN",
        "authorized_official_telephone_number": "415-351-7192"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FACULTY DENTAL SERVICE GROUP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FACULTY DENTAL SERVICE GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 22, 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.