Active NPI
Beverly Presley-Nelson, DDS, PC
- Dentist
- San Francisco, CA
National Provider Identifier
1396750097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DC30807
- Legal business name
- BEVERLY PRESLEY-NELSON, DDS, PC
- Practice address
- 1749 Taraval St
San Francisco, CA 94116-2308 - Phone
- (415) 753-0790
- Fax
- (415) 682-9158
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary R Presley-Nelson
- Title
- Business Manager
- Phone
- (415) 271-1213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DC30807 | CA | Primary |
Addresses
Primary practice location
1749 Taraval St
San Francisco, CA 94116-2308
Mailing address
98 Madrone Ave
San Francisco, CA 94127-1122
Phone (415) 271-1213
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- San Francisco, CA
- NPI 1154492494
-
- Dental Hygienist
- San Francisco, CA
- NPI 1750406088
-
- Dentist
- San Francisco, CA
- NPI 1013044916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396750097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 MADRONE AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271122",
"telephone_number": "415-271-1213",
"fax_number": "415-753-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 TARAVAL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162308",
"telephone_number": "415-753-0790",
"fax_number": "415-682-9158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY PRESLEY-NELSON, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PRESLEY-NELSON",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "415-271-1213"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "DC30807",
"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 Aug 22, 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.