Individual provider Active NPI

David Raymond Murillo, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1871847517
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CA39550 Issued in CA
Practice address
1621 Taraval St
San Francisco, CA 94116
Phone
(415) 664-6082
Fax
(415) 664-6084
NPI assigned
Nov 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X CA39550 CA Primary

Addresses

Primary practice location

1621 Taraval St
San Francisco, CA 94116

Mailing address

1621 Taraval St
San Francisco, CA 94116
Phone (415) 664-6082

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
CA39550CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1871847517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 TARAVAL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94116",
            "telephone_number": "415-664-6082",
            "fax_number": "415-664-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 TARAVAL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94116",
            "telephone_number": "415-664-6082",
            "fax_number": "415-664-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "DAVID",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA39550",
            "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 Nov 2, 2012; 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.