Organization Active NPI

Dentipassllc

  • Clinic/Center
  • San Francisco, CA
National Provider Identifier
1316812233
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DENTIPASSLLC
Practice address
498 Jackson St
San Francisco, CA 94111-1617
Phone
(657) 248-8888
NPI assigned
Oct 9, 2025
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Mohammad Amjad Kandar, DONPI 1508423005
Title
Dentist
Phone
(657) 248-8888

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

498 Jackson St
San Francisco, CA 94111-1617

Mailing address

5830 E 2ND St Ste 7000
Casper, WY 82609-4308
Phone (657) 248-8888

National Provider Directory

National Provider Directory

Locations

498 Jackson St
San Francisco, CA 94111
Phone (415) 397-2804

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1316812233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 E 2ND ST STE 7000",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094308",
            "telephone_number": "657-248-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 JACKSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941111617",
            "telephone_number": "657-248-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIPASSLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "KANDAR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "AMJAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "657-248-8888",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "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 Oct 9, 2025; 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.