NPIMap

Organization Active NPI

Fred C. Haeberlein, a.P.D.C.

  • Pediatric Dentistry
  • San Francisco, CA
National Provider Identifier
1376660894
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
25895 Issued in CA
Legal business name
FRED C. HAEBERLEIN, A.P.D.C.
Practice address
1700 California St
Suite 200
San Francisco, CA 94109-4586
Phone
(415) 441-7766
Fax
(415) 441-1919
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Fred Carl Haeberlein, D.D.S.NPI 1457341588
Title
President
Phone
(415) 441-7766

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 25895 CA Primary

Addresses

Primary practice location

1700 California St
Suite 200
San Francisco, CA 94109-4586

Mailing address

1700 California St
Suite 200
San Francisco, CA 94109-4586
Phone (415) 441-7766

National Provider Directory

National Provider Directory

Locations

1700 California St
Ste 200
San Francisco, CA 94109
Phone (415) 441-7766

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376660894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST",
            "address_2": "SUITE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094586",
            "telephone_number": "415-441-7766",
            "fax_number": "415-441-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST",
            "address_2": "SUITE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094586",
            "telephone_number": "415-441-7766",
            "fax_number": "415-441-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED C. HAEBERLEIN, A.P.D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAEBERLEIN",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-441-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "25895",
            "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 Aug 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.