Individual provider Active NPI

Mona Salameh-Punch, D.M.D.

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1871934406
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62532 Issued in CA
Practice address
2494 Mission St
San Francisco, CA 94110-2415
Phone
(415) 787-4272
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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 62532 CA Primary

Addresses

Primary practice location

2494 Mission St
San Francisco, CA 94110-2415

Mailing address

119 Palm Ave Apt 105
San Francisco, CA 94118-2566
Phone (978) 758-1839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170526001189 CA Order and Referring Only - DentistPractitioner - Dentist 6103193990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1871934406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PALM AVE APT 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182566",
            "telephone_number": "978-758-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102415",
            "telephone_number": "415-787-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMEH-PUNCH",
        "first_name": "MONA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.