Individual provider Active NPI

Song I Ok, D.D.S.

  • Dentist
  • San Francisco, CA
National Provider Identifier
1396078804
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
65153 Issued in CA
Practice address
325 China Basin St
Unit 512
San Francisco, CA 94158-2142
Phone
(206) 227-0904
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60107492 WA
Dentist 122300000X 65153 CA Primary

Addresses

Primary practice location

325 China Basin St
Unit 512
San Francisco, CA 94158-2142

Mailing address

325 China Basin St
Unit 512
San Francisco, CA 94158-2142
Phone (206) 227-0904

Other names 1

  • Dr. Sara Ok Other name

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

LicenseStateTypeSpecialty
65153CAMDDentist
DE60107492WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1396078804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CHINA BASIN ST",
            "address_2": "UNIT 512",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582142",
            "telephone_number": "206-227-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CHINA BASIN ST",
            "address_2": "UNIT 512",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582142",
            "telephone_number": "206-227-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OK",
        "first_name": "SONG",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60107492",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "OK",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 17, 2015; 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.