Individual provider Active NPI

Lynn Mieger, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1568683027
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
232137 Issued in CA
Practice address
115 Sansome St
Suite 1000
San Francisco, CA 94104-3601
Phone
(415) 781-9600
Fax
(415) 362-1909
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 232137 CA Primary

Addresses

Primary practice location

115 Sansome St
Suite 1000
San Francisco, CA 94104-3601

Mailing address

115 Sansome St
Suite 1000
San Francisco, CA 94104-3601
Phone (415) 781-9600

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

LicenseStateTypeSpecialty
232137CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568683027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SANSOME ST",
            "address_2": "SUITE 1000",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043601",
            "telephone_number": "415-781-9600",
            "fax_number": "415-362-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SANSOME ST",
            "address_2": "SUITE 1000",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043601",
            "telephone_number": "415-781-9600",
            "fax_number": "415-362-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIEGER",
        "first_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "232137",
            "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.

Verify at the official NPI Registry.