Active NPI
Alexander Chukreeff
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1376947853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50232
- Practice address
- 2001 Union St
Suite 500
San Francisco, CA 94123-4114 - Phone
- (415) 563-8123
- NPI assigned
- Oct 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50232 | CA | Primary |
Addresses
Primary practice location
2001 Union St
Suite 500
San Francisco, CA 94123-4114
Mailing address
2001 Union St Ste 500
San Francisco, CA 94123-4199
Phone (415) 542-8123
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50232 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1376947853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 UNION ST STE 500",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234199",
"telephone_number": "415-542-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 UNION ST",
"address_2": "SUITE 500",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234114",
"telephone_number": "415-563-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUKREEFF",
"first_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-13",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50232",
"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 May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.