Organization Active NPI

Beverly Presley-Nelson, DDS, PC

  • Dentist
  • San Francisco, CA
National Provider Identifier
1396750097
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DC30807 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.