Active NPI
Nathalie Botros, DDS
- Dentist
- San Francisco, CA
National Provider Identifier
1851960983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106272
- Practice address
- 490 Post St Ste 323
San Francisco, CA 94102-1404 - Phone
- (415) 399-1966
- NPI assigned
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 106272 | CA | Primary |
Addresses
Primary practice location
490 Post St Ste 323
San Francisco, CA 94102-1404
Mailing address
679 Bolsana Dr
Laguna Beach, CA 92651-4135
Phone (312) 752-0143
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106272 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1851960983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 BOLSANA DR",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926514135",
"telephone_number": "312-752-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 POST ST STE 323",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941021404",
"telephone_number": "415-399-1966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTROS",
"first_name": "NATHALIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106272",
"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 Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.