Active NPI
Joseph Alfred Nicolas, DDS
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1427126770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43377
- Practice address
- 801 Portola Dr
Suite 204
San Francisco, CA 94127-1234 - Phone
- (415) 566-9700
- NPI assigned
- Dec 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43377 | CA | Primary |
Addresses
Primary practice location
801 Portola Dr
Suite 204
San Francisco, CA 94127-1234
Mailing address
801 Portola Dr
Suite 204
San Francisco, CA 94127-1234
Phone (415) 566-9700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427126770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 PORTOLA DR",
"address_2": "SUITE 204",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271234",
"telephone_number": "415-566-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 PORTOLA DR",
"address_2": "SUITE 204",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271234",
"telephone_number": "415-566-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAS",
"first_name": "JOSEPH",
"middle_name": "ALFRED",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
- Barbara Nicol, M.D.
- Chance Timothy Nicol, DPT
- Katherine Marie Nicolai
- Theodore Paul Nicolaides
- Nicolas Santos Chiropractic Inc
- Michelle Kaye F Nicolas, OTR/L
- Ilexa Nicolau, PHARM.D.
- Michele Toni Nicolay, CSAC, CADC II
- Nicole Harkin MD a Professional Corporation (Whole Heart Cardiology)
- Christine Diana Nicoll, M.D.
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.