Ai B. Streacker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28392 Issued in CA

Practice address

2155 Webster St
C 29
San Francisco, CA 94115-2333

Phone

(415) 929-6613

NPI assigned

Apr 24, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1386902658",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2155 WEBSTER ST",
            "address_2": "SUITE C 29",
            "city": "SAN FRANCISCO",
            "state": "CALIFORNIA",
            "postal_code": "94115",
            "telephone_number": "415-517-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 WEBSTER ST",
            "address_2": "C 29",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152333",
            "telephone_number": "415-929-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREACKER",
        "first_name": "AI",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Straus, PSY.D.
• Laurie Agee Strauss
• Ronald Scott Strauss, M.D.
• Zoe Strauss
• Katherine Akhtar Straznickas, PH.D.
• Taylor Louise Streaty
• Tiffany Streb, RD
• Karen Strecker, L.AC.
• Judith Gerring Street, M.D.
• Kaleese Street

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.