Active NPI
Katja Greenberg, DR.MED.DENT.,DDS, MS
- Periodontics
- San Francisco, CA
National Provider Identifier
1497958532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 48134
- Practice address
- 2001 Union St
Suite 482
San Francisco, CA 94123-4114 - Phone
- (141) 544-0810
- Fax
- (141) 544-0016
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 48134 | CA | Primary |
Addresses
Primary practice location
2001 Union St
Suite 482
San Francisco, CA 94123-4114
Mailing address
446 Mississippi St
San Francisco, CA 94107-2928
Phone (141) 531-0277
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48134 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497958532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 MISSISSIPPI ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941072928",
"telephone_number": "141-531-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 UNION ST",
"address_2": "SUITE 482",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234114",
"telephone_number": "141-544-0810",
"fax_number": "141-544-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "KATJA",
"name_prefix": "Dr.",
"credential": "DR.MED.DENT.,DDS, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "48134",
"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 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.