Organization Active NPI

Grace Nepacina-Cabauatan,D.M.D., a Professional Dental Corporation

  • Dental Clinic/Center
  • San Francisco, CA
National Provider Identifier
1659768026
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
56171 Issued in CA
Legal business name
GRACE NEPACINA-CABAUATAN,D.M.D., A PROFESSIONAL DENTAL CORPORATION
Practice address
4804 Mission St
Suite 210
San Francisco, CA 94112-3432
Phone
(415) 587-5763
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Grace Nepacina Cabauatan
Title
D.M.D.
Phone
(415) 587-5763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 56171 CA Primary

Addresses

Primary practice location

4804 Mission St
Suite 210
San Francisco, CA 94112-3432

Mailing address

4804 Mission St
Suite 210
San Francisco, CA 94112-3432
Phone (415) 587-5763

National Provider Directory

National Provider Directory

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": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1659768026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 MISSION ST",
            "address_2": "SUITE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123432",
            "telephone_number": "415-587-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 MISSION ST",
            "address_2": "SUITE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123432",
            "telephone_number": "415-587-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE NEPACINA-CABAUATAN,D.M.D., A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "CABAUATAN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "NEPACINA",
        "authorized_official_title_or_position": "D.M.D.",
        "authorized_official_telephone_number": "415-587-5763"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56171",
            "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 Apr 23, 2015; 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.