Organization Active NPI

Studio Dental Inc

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1699183046
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STUDIO DENTAL INC
Practice address
455 Mission Bay Blvd S
Suite 124
San Francisco, CA 94158-2158
Phone
(415) 515-0450
NPI assigned
Jul 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Authorized official

Name
Lowell Caulder
Title
President
Phone
(415) 527-0263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

455 Mission Bay Blvd S
Suite 124
San Francisco, CA 94158-2158

Mailing address

455 Mission Bay Blvd S
Suite 124
San Francisco, CA 94158-2158
Phone (415) 515-0450

Other names 1

  • Studio Dental Doing business as

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": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1699183046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MISSION BAY BLVD S",
            "address_2": "SUITE 124",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582158",
            "telephone_number": "415-515-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MISSION BAY BLVD S",
            "address_2": "SUITE 124",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582158",
            "telephone_number": "415-515-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDIO DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "CAULDER",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-527-0263"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Studio Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 30, 2014; 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.