Potrero Hill Dental

Primary specialty

DentistTaxonomy code 122300000X

License

60629 Issued in CA

Legal business name

POTRERO HILL DENTAL

Practice address

698 Vermont St
San Francisco, CA 94107-2636

Phone

(415) 890-4449

NPI assigned

Sep 12, 2015

Organization subpart

No

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

Authorized official

Name

Nancy Ly, DDS

Title

Co-Owner/Dentist

Phone

(415) 890-4449

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442016000000",
    "number": "1831567411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 VERMONT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072636",
            "telephone_number": "415-890-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 VERMONT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072636",
            "telephone_number": "415-890-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTRERO HILL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-09-12",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CO-OWNER/DENTIST",
        "authorized_official_telephone_number": "415-890-4449",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61714",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "60629",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "59294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Postone, M.D.
• Larisa Potap, M.D
• Hermenegildo Valenzuela Potestades, NP
• Vaishnavi Potluri
• Maria Potocki
• Potrero Hill Health Center
• Potrero Hill Neighborhood House
• Elizabeth Maria Potselueff, PHARMD
• Grace Caroline Pottebaum
• James Paxton Pottenger, OTR/L

• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.