UCSF Hospital Dentistry-GPR

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

UCSF HOSPITAL DENTISTRY-GPR

Practice address

707 Parnassus Ave
San Francisco, CA 94143-5718

Phone

(415) 476-8229

Fax

(415) 502-6489

NPI assigned

Nov 2, 2006

Last updated

Nov 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Reddy, DMD, DMSC

Title

Dean, School of Dentistry

Phone

(415) 476-1323

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1629157540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "address_2": "BOX 5718",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941435718",
            "telephone_number": "415-476-8229",
            "fax_number": "415-502-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941435718",
            "telephone_number": "415-476-8229",
            "fax_number": "415-502-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF HOSPITAL DENTISTRY-GPR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DEAN, SCHOOL OF DENTISTRY",
        "authorized_official_telephone_number": "415-476-1323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, DMSC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9349201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• UCSF Health Community Hospitals (UCSF Health - St. Mary's Hospital (Psych))
• UCSF Health Community Hospitals (UCSF Health - St. Mary's Hospital (Rehab))
• UCSF Health Medical Foundation
• UCSF Health Medical Foundation
• UCSF Health Medical Foundation
• UCSF Interventional Radiology
• UCSF Medical Center
• UCSF Medical Center
• UCSF Medical Center
• UCSF Medical Center

• 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 Nov 5, 2019; 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.