Active NPI
Athina Katerina Costelli, DDS
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1700705753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 113350
- Practice address
- 1508 Church St
San Francisco, CA 94131-2018 - Phone
- (650) 477-8370
- NPI assigned
- Jul 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 113350 | CA | Primary |
Addresses
Primary practice location
1508 Church St
San Francisco, CA 94131-2018
Mailing address
1508 Church St
San Francisco, CA 94131-2018
Phone (650) 477-8370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1700705753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 CHURCH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941312018",
"telephone_number": "650-477-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 CHURCH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941312018",
"telephone_number": "650-477-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLI",
"first_name": "ATHINA",
"middle_name": "KATERINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-14",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "113350",
"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 Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.