Organization Active NPI

Courtney K. Fitzpatrick, DDS, Inc

  • Dental Clinic/Center
  • San Francisco, CA
National Provider Identifier
1669988531
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
52856 Issued in CA
Legal business name
COURTNEY K. FITZPATRICK, DDS, INC
Practice address
390 Laurel St Ste 301
San Francisco, CA 94118-1953
Phone
(415) 563-3522
NPI assigned
Dec 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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

Authorized official

Name
Dr. Courtney FitzpatrickNPI 1548471766
Title
Owner Dentist, President
Phone
(415) 563-3522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 52856 CA Primary

Addresses

Primary practice location

390 Laurel St Ste 301
San Francisco, CA 94118-1953

Mailing address

390 Laurel St Ste 301
San Francisco, CA 94118-1953

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1669988531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 LAUREL ST STE 301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 LAUREL ST STE 301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181953",
            "telephone_number": "415-563-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY K. FITZPATRICK, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER DENTIST, PRESIDENT",
        "authorized_official_telephone_number": "415-563-3522",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "52856",
            "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 Dec 14, 2017; 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.