Douglas L Chenin DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53773 Issued in CA

Legal business name

DOUGLAS L CHENIN DDS INC

Practice address

2001 Union St Ste 420
San Francisco, CA 94123-4109

Phone

(415) 424-3313

Fax

(415) 655-9301

NPI assigned

Apr 4, 2018

Last updated

Apr 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas CheninNPI 1699136010

Title

DDS

Phone

(415) 424-3313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Chenin, DDS

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1699136010
  NPD Authorized official

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1881190106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 UNION ST STE 420",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234109",
            "telephone_number": "415-424-3313",
            "fax_number": "415-655-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 UNION ST STE 420",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234109",
            "telephone_number": "415-424-3313",
            "fax_number": "415-655-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS L CHENIN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "CHENIN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "415-424-3313",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Marie Dougherty, MA, MFT
• Ryan Dougherty, M.D.
• Louis May-Nguyen Doughery
• Carolyn Doughty, LPN
• Drew M Doughty
• Jason Douglas
• Lawrence Douglas
• Rachel Antonia Douglas
• Vanja Christopher Douglas, M.D.
• Jenna Douglass

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.