Individual provider Active NPI

Courtney M Hain, DDS

  • Dentist
  • San Francisco, CA
National Provider Identifier
1306399753
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100611 Issued in CA
Practice address
450 Sutter St RM 1422
San Francisco, CA 94108-4003
Phone
(415) 237-3456
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100611 CA Primary

Addresses

Primary practice location

450 Sutter St RM 1422
San Francisco, CA 94108-4003

Mailing address

450 Sutter St RM 1422
San Francisco, CA 94108-4003
Phone (415) 237-3456

Other names 1

  • Courtney Rachelle Mason Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170118001235 CA Order and Referring Only - DentistPractitioner - Dentist 7113209636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100611CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1306399753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1422",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084003",
            "telephone_number": "415-237-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1422",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084003",
            "telephone_number": "415-237-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIN",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MASON",
            "middle_name": "RACHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.