Individual provider Active NPI

Mathew Jonah Chow, DDS

  • Dentist
  • San Francisco, CA
National Provider Identifier
1356711394
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
65180 Issued in CA
Practice address
500 Sutter St
#819
San Francisco, CA 94102-1107
Phone
(415) 391-1060
Fax
(415) 391-2898
NPI assigned
Oct 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 65180 CA Primary

Addresses

Primary practice location

500 Sutter St
#819
San Francisco, CA 94102-1107

Mailing address

500 Sutter St
#819
San Francisco, CA 94102-1107
Phone (415) 391-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
65180CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1356711394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUTTER ST",
            "address_2": "#819",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021107",
            "telephone_number": "415-391-1060",
            "fax_number": "415-391-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUTTER ST",
            "address_2": "#819",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021107",
            "telephone_number": "415-391-1060",
            "fax_number": "415-391-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOW",
        "first_name": "MATHEW",
        "middle_name": "JONAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65180",
            "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 2, 2015; 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.