Active NPI
Katherine Mary Rosen, DDS
- Pediatric Dentistry
- San Francisco, CA
National Provider Identifier
1538501895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 64005
- Practice address
- 2480 Mission St
San Francisco, CA 94110-2468 - Phone
- (415) 692-0273
- NPI assigned
- Jul 26, 2013
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS039676 | PA | |
| Pediatric Dentistry | 1223P0221X | 64005 | CA | Primary |
Addresses
Primary practice location
2480 Mission St
San Francisco, CA 94110-2468
Mailing address
701 China Basin St Apt 223
San Francisco, CA 94158-2363
Other practice location 1
4401 Penn Ave
Dental Department
Pittsburgh, PA 15224-1334
Phone (412) 692-7426
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039676 | PA | MD | Dentist |
Interoperability endpoints
- krosen19419@smch.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1538501895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 CHINA BASIN ST APT 223",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941582363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102468",
"telephone_number": "415-692-0273"
}
],
"practiceLocations": [
{
"address_1": "4401 Penn Ave",
"address_2": "Dental Department",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152241334",
"country_code": "US",
"telephone_number": "412-692-7426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSEN",
"first_name": "KATHERINE",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039676",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "64005",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.