Active NPI
Madison Sico, DMD
- Dentist
- San Francisco, CA
National Provider Identifier
1386278620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104036
- Practice address
- 2383 California St
San Francisco, CA 94115-2702 - Phone
- (415) 854-5797
- NPI assigned
- Feb 25, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 104036 | CA | Primary |
Addresses
Primary practice location
2383 California St
San Francisco, CA 94115-2702
Mailing address
707 Noe St
San Francisco, CA 94114-2922
Phone (361) 944-7200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104036 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1386278620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 NOE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142922",
"telephone_number": "361-944-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2383 CALIFORNIA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152702",
"telephone_number": "415-854-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICO",
"first_name": "MADISON",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104036",
"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 Nov 5, 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.