Individual provider Active NPI

Santiago Uribe, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1720389604
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59909 Issued in CA
Practice address
3532 20TH St
San Francisco, CA 94110-2419
Phone
(415) 643-6424
NPI assigned
Nov 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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 59909 CA Primary

Addresses

Primary practice location

3532 20TH St
San Francisco, CA 94110-2419

Mailing address

3532 20TH St
San Francisco, CA 94110-2419
Phone (415) 643-6424

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
I20131022000859 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1052546348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59909CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riao-Luque Dental Corp General Practice Past Accepting new patients
Abhilasha Bal, D.D.S., Inc. PastSince Apr 20, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1720389604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 20TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102419",
            "telephone_number": "415-643-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 20TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102419",
            "telephone_number": "415-643-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIBE",
        "first_name": "SANTIAGO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.