Organization Active NPI

UCSF Dentistry Specialty Practices

  • Dental Clinic/Center
  • San Mateo, CA
National Provider Identifier
1427919638
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UCSF DENTISTRY SPECIALTY PRACTICES
Practice address
110 Park Place, Suite 150
San Mateo, CA 94403
Phone
(415) 476-1323
NPI assigned
Nov 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Michael Reddy, DMD,DMSC
Title
Dean, UCSF School of Dentistry
Phone
(415) 476-1323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

110 Park Place, Suite 150
San Mateo, CA 94403

Mailing address

110 Park Place, Suite 150
San Mateo, CA 94403

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1427919638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PARK PLACE, SUITE 150",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PARK PLACE, SUITE 150",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94403",
            "telephone_number": "415-476-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF DENTISTRY SPECIALTY PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DEAN, UCSF SCHOOL OF DENTISTRY",
        "authorized_official_telephone_number": "415-476-1323",
        "authorized_official_credential": "DMD,DMSC"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.