Organization Active NPI

Dr. Soe Dental Corporation

  • Dentist
  • San Francisco, CA
National Provider Identifier
1457730913
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63892 Issued in CA
Legal business name
DR. SOE DENTAL CORPORATION
Practice address
4747 Mission St
San Francisco, CA 94112-2729
Phone
(415) 585-5773
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Dr. Kyaw Soe, DDSNPI 1861542268
Title
Owner Dentist
Phone
(415) 585-5773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 63892 CA Primary

Addresses

Primary practice location

4747 Mission St
San Francisco, CA 94112-2729

Mailing address

4747 Mission St
San Francisco, CA 94112-2729
Phone (415) 585-5773

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1457730913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122729",
            "telephone_number": "415-585-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122729",
            "telephone_number": "415-585-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SOE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "SOE",
        "authorized_official_first_name": "KYAW",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "415-585-5773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63892",
            "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 May 29, 2015; 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.