Active NPI
Rebecca Boardman, D.D.S.
- Prosthodontics
- San Francisco, CA
National Provider Identifier
1396892691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 244569
- Practice address
- 2299 Post St
Suite 302
San Francisco, CA 94115-3441 - Phone
- (415) 931-4155
- Fax
- (415) 931-7095
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 244569 | CA | Primary |
Addresses
Primary practice location
2299 Post St
Suite 302
San Francisco, CA 94115-3441
Mailing address
2299 Post St
Suite 302
San Francisco, CA 94115-3441
Phone (415) 931-4155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731708709 | Other | CA | TAX ID |
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 |
|---|---|---|---|
| 244569 | CA | MD | Licensed Vocational Nurse |
Interoperability endpoints
- rboardman249462@direct-ucsfmedicalcenter.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396892691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2299 POST ST",
"address_2": "SUITE 302",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153441",
"telephone_number": "415-931-4155",
"fax_number": "415-931-7095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2299 POST ST",
"address_2": "SUITE 302",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153441",
"telephone_number": "415-931-4155",
"fax_number": "415-931-7095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOARDMAN",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "244569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "731708709",
"state": "CA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.