Individual provider Active NPI

Dustin Mark Wirig, DDS MSD

  • Endodontics
  • San Francisco, CA
National Provider Identifier
1811150436
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
57129 Issued in CA
Practice address
2001 Union St
Suite 280
San Francisco, CA 94123
Phone
(415) 921-4090
Fax
(415) 921-7832
NPI assigned
Jul 3, 2008
Last updated
Jul 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 57129 CA Primary

Addresses

Primary practice location

2001 Union St
Suite 280
San Francisco, CA 94123

Mailing address

2001 Union St
Suite 280
San Francisco, CA 94123
Phone (415) 921-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
57129CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard F Bronson DDS Inc Endodontics Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1811150436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 UNION ST",
            "address_2": "SUITE 280",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94123",
            "telephone_number": "415-921-4090",
            "fax_number": "415-921-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 UNION ST",
            "address_2": "SUITE 280",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94123",
            "telephone_number": "415-921-4090",
            "fax_number": "415-921-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRIG",
        "first_name": "DUSTIN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "57129",
            "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 Jul 3, 2008; 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.