Organization Active NPI

Stefka Petrova DDS, a Professional Dental Organization

  • Dental Clinic/Center
  • San Francisco, CA
National Provider Identifier
1467012153
Registry record updated Jun 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STEFKA PETROVA DDS, A PROFESSIONAL DENTAL ORGANIZATION
Practice address
450 Sutter St RM 1220
San Francisco, CA 94108-4001
Phone
(415) 982-2250
NPI assigned
Jun 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2019

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

Authorized official

Name
Stefka Petrova, DDSNPI 1679050967
Title
Owner
Phone
(415) 982-2250

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

450 Sutter St RM 1220
San Francisco, CA 94108-4001

Mailing address

450 Sutter St RM 1220
San Francisco, CA 94108-4001
Phone (415) 982-2250

Other practice location 1

450 Sutter St Rm 1220
San Francisco, CA 94108-4001
Phone (415) 982-2250

National Provider Directory

National Provider Directory

Locations

450 Sutter St
Rm 1220
San Francisco, CA 94108
Phone (415) 982-2250

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": "1560643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560643200000",
    "number": "1467012153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1220",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084001",
            "telephone_number": "415-982-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1220",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084001",
            "telephone_number": "415-982-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Sutter St Rm 1220",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941084001",
            "country_code": "US",
            "telephone_number": "415-982-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEFKA PETROVA DDS, A PROFESSIONAL DENTAL ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-16",
        "last_updated": "2019-06-16",
        "status": "A",
        "authorized_official_last_name": "PETROVA",
        "authorized_official_first_name": "STEFKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-982-2250",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Jun 16, 2019; 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.