Individual provider Active NPI

Christopher Gurries, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • San Francisco, CA
National Provider Identifier
1750700837
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401416451 Issued in VA
Practice address
450 Sutter St RM 2439
San Francisco, CA 94108-4208
Phone
(415) 956-6610
Fax
(415) 956-6618
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 63526 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401416451 VA Primary
Military Health Care Provider 171000000X
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 63526 CA

Addresses

Primary practice location

450 Sutter St RM 2439
San Francisco, CA 94108-4208

Mailing address

633D MDG Oral and Maxillofacial Surgery
77 Nealy Ave
Langley AFB, VA 23665
Phone (757) 764-7124

Other practice location 1

5408 Discovery Park Blvd Ste 101
Williamsburg, VA 23188-2893
Phone (757) 208-0138

Other practice location 2

101 Bodin Cir
60 MDG/SGDD
Travis AFB, CA 94535-1809
Phone (707) 816-5677

Other practice location 3

77 Nealy Ave
Langley AFB, VA 23665-2040
Phone (757) 764-7124

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
I20160412001896 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426356262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401416451VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher a. Gurries, DDS, Inc. CurrentSince Mar 27, 2022 Accepting new patients
Coastal Oral Surgery Oral and Maxillofacial Surgery Past Accepting new patients
Edmondbedrossian DDS, Inc. Oral and Maxillofacial Surgery PastSince Mar 27, 2022 Accepting new patients
Coastal Oral Maxillofacial Surgery & Implants, Inc. Oral and Maxillofacial Surgery PastSince Nov 12, 2011 Accepting new patients

Locations

450 Sutter St
Rm 2439
San Francisco, CA 94108
Phone (415) 956-6610

Organizations & group practices 4

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1750700837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633D MDG ORAL AND MAXILLOFACIAL SURGERY",
            "address_2": "77 NEALY AVE",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "23665",
            "telephone_number": "757-764-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 2439",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084208",
            "telephone_number": "415-956-6610",
            "fax_number": "415-956-6618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5408 Discovery Park Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231882893",
            "country_code": "US",
            "telephone_number": "757-208-0138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Bodin Cir",
            "address_2": "60 MDG/SGDD",
            "address_purpose": "LOCATION",
            "city": "Travis AFB",
            "state": "CA",
            "postal_code": "945351809",
            "country_code": "US",
            "telephone_number": "707-816-5677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Nealy Ave",
            "address_purpose": "LOCATION",
            "city": "Langley AFB",
            "state": "VA",
            "postal_code": "236652040",
            "country_code": "US",
            "telephone_number": "757-764-7124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURRIES",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "63526",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401416451",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "63526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.