Individual provider Active NPI

Kyle Burke Jones, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • San Francisco, CA
National Provider Identifier
1316475213
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
63593 Issued in CA
Practice address
1701 Divisadero St RM 280
San Francisco, CA 94115-3011
Phone
(415) 353-7535
Fax
(415) 353-9897
NPI assigned
May 23, 2017
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 63593 CA Primary

Addresses

Primary practice location

1701 Divisadero St RM 280
San Francisco, CA 94115-3011

Mailing address

1701 Divisadero St RM 280
San Francisco, CA 94115-3011
Phone (415) 353-7535

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170706003226 CA Practitioner - Maxillofacial SurgeryPractitioner - Oral SurgeryPractitioner - Dentist 2668741653 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jul 1, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2017 Accepting new patients
UCSF Dermatopathology Service Oral and Maxillofacial Pathology CurrentSince Jun 1, 2020 Accepting new patients
UCSF Oral Medicine Clinic CurrentSince Dec 3, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2017 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2017 Accepting new patients
UCSF Oral & Maxillofacial Surgery CurrentSince Jul 1, 2017 Accepting new patients
University of California San Francisco Current Accepting new patients

Locations

1701 Divisadero St
Rm 280
San Francisco, CA 94115
Phone (415) 353-7535

1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

513 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-1239

513 Parnassus Ave
#S722
San Francisco, CA 94143

513 Parnassus Ave
Rm S722
San Francisco, CA 94143
Phone (415) 476-2045

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1316475213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST RM 280",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153011",
            "telephone_number": "415-353-7535",
            "fax_number": "415-353-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST RM 280",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153011",
            "telephone_number": "415-353-7535",
            "fax_number": "415-353-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KYLE",
        "middle_name": "BURKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "63593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.