Organization Active NPI

Kenneth Karamyan DDS Inc

  • Dentist
  • San Francisco, CA
National Provider Identifier
1699199950
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50618 Issued in CA
Legal business name
KENNETH KARAMYAN DDS INC
Practice address
2920 Lyon St
San Francisco, CA 94123-3226
Phone
(415) 737-0430
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Dr. Kenneth Karamyan, DDSNPI 1588686117
Title
Dentist
Phone
(415) 737-0430

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50618 CA Primary

Addresses

Primary practice location

2920 Lyon St
San Francisco, CA 94123-3226

Mailing address

2920 Lyon St
San Francisco, CA 94123-3226
Phone (415) 737-0430

Other names 1

  • Presidio Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200103002425 CA Part B Supplier - Clinic/Group Practice 7214361930 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory
Tax ID family
Kenneth a Karamyan DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2920 Lyon St
San Francisco, CA 94123
Phone (415) 737-0430

3309 Fillmore St
San Francisco, CA 94123
Phone (415) 737-0430

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": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1699199950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 LYON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233226",
            "telephone_number": "415-737-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 LYON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233226",
            "telephone_number": "415-737-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH KARAMYAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "KARAMYAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "415-737-0430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presidio 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 Feb 6, 2014; 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.

Verify at the official NPI Registry.