Organization Active NPI

Sunset Premier Dental

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1851499412
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
B37744 Issued in CA
Legal business name
SUNSET PREMIER DENTAL
Practice address
2415 Noriega St
San Francisco, CA 94122-4241
Phone
(415) 682-2415
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Justin Tin, D.D.S.
Title
Managing Dentist
Phone
(415) 682-2415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X B37744 CA Primary

Addresses

Primary practice location

2415 Noriega St
San Francisco, CA 94122-4241

Mailing address

2415 Noriega St
San Francisco, CA 94122-4241
Phone (415) 682-2415

National Provider Directory

National Provider Directory

Locations

2415 Noriega St
San Francisco, CA 94122
Phone (415) 682-2415

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851499412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 NORIEGA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224241",
            "telephone_number": "415-682-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 NORIEGA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224241",
            "telephone_number": "415-682-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET PREMIER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "415-682-2415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B37744",
            "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 Aug 22, 2020; 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.