Organization Active NPI

Y. Clement Shek D.D.S. Inc.

  • Dentist
  • San Francisco, CA
National Provider Identifier
1609055912
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19674 Issued in CA
Legal business name
Y. CLEMENT SHEK D.D.S. INC.
Practice address
3400 California St
Suite #200
San Francisco, CA 94118-1863
Phone
(415) 567-2408
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Dr. Justin Shek
Title
Dentist
Phone
(415) 567-2408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19674 CA Primary

Addresses

Primary practice location

3400 California St
Suite #200
San Francisco, CA 94118-1863

Mailing address

3400 California St
Suite #200
San Francisco, CA 94118-1863
Phone (415) 567-2408

National Provider Directory

National Provider Directory

Locations

3400 California St
Ste 200
San Francisco, CA 94118
Phone (415) 567-2408

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1609055912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CALIFORNIA ST",
            "address_2": "SUITE #200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181863",
            "telephone_number": "415-567-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CALIFORNIA ST",
            "address_2": "SUITE #200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181863",
            "telephone_number": "415-567-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y. CLEMENT SHEK D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "SHEK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "415-567-2408",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "19674",
            "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 Jun 28, 2016; 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.