Individual provider Active NPI

Grishma Zaveri

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1710401880
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
101744 Issued in CA
Practice address
2055 Sacramento St Apt 202
San Francisco, CA 94109-3320
Phone
(415) 521-6568
Fax
(415) 521-6568
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 101744 CA Primary

Addresses

Primary practice location

2055 Sacramento St Apt 202
San Francisco, CA 94109-3320

Mailing address

2055 Sacramento St Apt 202
San Francisco, CA 94109-3320
Phone (415) 521-6568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208000158 CA Order and Referring Only - DentistPractitioner - Dentist 7315204856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101744CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1710401880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 SACRAMENTO ST APT 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093320",
            "telephone_number": "415-521-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 SACRAMENTO ST APT 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093320",
            "telephone_number": "415-521-6568",
            "fax_number": "415-521-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVERI",
        "first_name": "GRISHMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.