Sean Mong, DDS, EDD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42071 Issued in CA

Practice address

707 Parnassus Ave
Box 0752
San Francisco, CA 94143-0752

Phone

(415) 502-2471

Fax

(415) 476-0409

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1538378328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "address_2": "BOX 0752",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430752",
            "telephone_number": "415-502-2471",
            "fax_number": "415-476-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "address_2": "BOX 0752",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430752",
            "telephone_number": "415-502-2471",
            "fax_number": "415-476-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONG",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DDS, EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Victoria Cuesta Monegas
• Robert Alan Monetta, OD
• Martha Monetti, PSY.D
• Rachel Mong
• Samantha Mong
• Varun Vijay Kumar Monga, MBBS, MD
• John Thomas Mongan, MD, PHD
• Hortencia Carmen Monge
• Jillian Mongelluzzo, MD
• Michal Henry Moni, LPT

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.