Active NPI
UCSF
- Periodontics
- San Francisco, CA
National Provider Identifier
1477962124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 63779
- Legal business name
- UCSF
- Practice address
- 707 Parnassus Ave
San Francisco, CA 94143-2210 - Phone
- (415) 476-2563
- NPI assigned
- Aug 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Ryder, DDS
- Title
- Prof and Chair of Periodontology
- Phone
- (415) 476-1699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 63779 | CA | Primary |
Addresses
Primary practice location
707 Parnassus Ave
San Francisco, CA 94143-2210
Mailing address
Box 0762 707 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-2563
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407369600000",
"number": "1477962124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 0762 707 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94143",
"telephone_number": "415-476-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432210",
"telephone_number": "415-476-2563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UCSF",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-07",
"last_updated": "2014-08-07",
"status": "A",
"authorized_official_last_name": "RYDER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PROF AND CHAIR OF PERIODONTOLOGY",
"authorized_official_telephone_number": "415-476-1699",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "63779",
"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 Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.