Individual provider Active NPI

Christina McBride Kenerson, DMD

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1598298150
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103482 Issued in CA
Practice address
2383 California St
San Francisco, CA 94115-2702
Phone
(415) 854-5797
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 103482 CA Primary

Addresses

Primary practice location

2383 California St
San Francisco, CA 94115-2702

Mailing address

1551 Filbert St Apt 4
San Francisco, CA 94123-3725
Phone (201) 919-4544

Other practice location 1

50 Midwood Ter
Madison, NJ 07940-2735
Phone (201) 919-4544

Other names 1

  • Christina McBride Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1598298150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 FILBERT ST APT 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233725",
            "telephone_number": "201-919-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 CALIFORNIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152702",
            "telephone_number": "415-854-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Midwood Ter",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NJ",
            "postal_code": "079402735",
            "country_code": "US",
            "telephone_number": "201-919-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENERSON",
        "first_name": "CHRISTINA",
        "middle_name": "MCBRIDE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "MCBRIDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 24, 2020; 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.