NPIMap

Organization Active NPI

UCSF School of Dentistry

  • Periodontics
  • San Francisco, CA
National Provider Identifier
1740672005
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
64230 Issued in CA
Legal business name
UCSF SCHOOL OF DENTISTRY
Practice address
707 Parnassus Ave
Box 0762
San Francisco, CA 94143-0762
Phone
(415) 476-1731
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Dr. Mark Ryder, DDS, MS
Title
Program Director
Phone
(415) 476-1699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 64230 CA Primary

Addresses

Primary practice location

707 Parnassus Ave
Box 0762
San Francisco, CA 94143-0762

Mailing address

707 Parnassus Ave
Box 0762
San Francisco, CA 94143-0762

National Provider Directory

National Provider Directory

Locations

707 Parnassus Ave
#762
San Francisco, CA 94143
Phone (323) 364-3010

Practitioners & affiliated clinicians

Practitioners 6

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": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1740672005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "address_2": "BOX 0762",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "address_2": "BOX 0762",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430762",
            "telephone_number": "415-476-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF SCHOOL OF DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "415-476-1699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "64230",
            "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 Feb 24, 2015; 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.