Active NPI
Joseph Edward Dehmer, D.D.S
- Endodontics
- San Francisco, CA
National Provider Identifier
1386922284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 64054
- Practice address
- 1488 5TH Ave
San Francisco, CA 94122-3807 - Phone
- (415) 519-2425
- NPI assigned
- Jul 26, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 64054 | CA | Primary |
Addresses
Primary practice location
1488 5TH Ave
San Francisco, CA 94122-3807
Mailing address
1488 5TH Ave
San Francisco, CA 94122-3807
Phone (415) 519-2425
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 |
|---|---|---|---|
| 64054 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1386922284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1488 5TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941223807",
"telephone_number": "415-519-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1488 5TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941223807",
"telephone_number": "415-519-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHMER",
"first_name": "JOSEPH",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-26",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "64054",
"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 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.