Active NPI
Christopher Gurries, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0401416451
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160412001896 | CA | Order and Referring Only - Oral Surgery | 8426356262 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401416451 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher a. Gurries, DDS, Inc. | Current | Accepting new patients | |
| Coastal Oral Surgery | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Edmondbedrossian DDS, Inc. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Coastal Oral Maxillofacial Surgery & Implants, Inc. | Oral and Maxillofacial Surgery | Past | 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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- San Francisco, CA
- NPI 1952050478
-
- Oral and Maxillofacial Surgery (Dentist)
- San Francisco, CA
- NPI 1821110446
-
- Oral and Maxillofacial Surgery (Dentist)
- Williamsburg, VA
- NPI 1982973954
-
- Oral and Maxillofacial Surgery (Dentist)
- Williamsburg, VA
- NPI 1497694749
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.