NPIMap

Organization Active NPI

Courtin Dental Inc

Doing business as Courtin Family Dentistry

  • Dental Clinic/Center
  • San Mateo, CA
National Provider Identifier
1699457663
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COURTIN DENTAL INC
Doing business as
Courtin Family Dentistry
Olson Dental
Practice address
36 N San Mateo Dr Ste B
San Mateo, CA 94401-4523
Phone
(650) 342-0474
NPI assigned
Aug 1, 2023
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Ryan Courtin, DDSNPI 1023564184
Title
Ceo
Phone
(650) 342-0474

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 NU Primary

Addresses

Primary practice location

36 N San Mateo Dr Ste B
San Mateo, CA 94401-4523

Mailing address

36 N San Mateo Dr Ste B
San Mateo, CA 94401-4523
Phone (650) 342-0474

Other names 2

  • Courtin Family Dentistry Doing business as
  • Olson Dental Doing business as

National Provider Directory

National Provider Directory

Locations

36 N San Mateo Dr
Ste B
San Mateo, CA 94401
Phone (650) 342-0474

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1699457663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N SAN MATEO DR STE B",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014523",
            "telephone_number": "650-342-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N SAN MATEO DR STE B",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014523",
            "telephone_number": "650-342-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTIN DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "COURTIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-342-0474",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtin Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olson Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.