Active NPI
Peter Farmer DDS Inc
- Dental Clinic/Center
- San Francisco, CA
National Provider Identifier
1679715932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 45570
- Legal business name
- PETER FARMER DDS INC
- Practice address
- 2191 Market St Ste B
San Francisco, CA 94114-4305 - Phone
- (415) 255-0400
- Fax
- (415) 255-0420
- NPI assigned
- Apr 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Farmer, DDS
- Title
- Owner/President
- Phone
- (415) 637-3868
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 45570 | CA | Primary |
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
2191 Market St Ste B
San Francisco, CA 94114-4305
Mailing address
2191 Market St Ste B
San Francisco, CA 94114-4305
Phone (415) 255-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210407001319 | CA | DME Supplier - Oral Surgery - Dentist | 0547677668 | Practice locations: San Francisco, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- San Francisco, CA
- NPI 1275610818
-
- General Practice Dentistry
- San Francisco, CA
- NPI 1881721025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735430400000",
"number": "1679715932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 MARKET ST STE B",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941144305",
"telephone_number": "415-255-0400",
"fax_number": "415-255-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 MARKET ST STE B",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941144305",
"telephone_number": "415-255-0400",
"fax_number": "415-255-0420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER FARMER DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-01",
"last_updated": "2024-12-29",
"certification_date": "2024-12-29",
"status": "A",
"authorized_official_last_name": "FARMER",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "415-637-3868",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "45570",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"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 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.