Jennifer Creelman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45671 Issued in CA

Practice address

2191 Market St
Suite B
San Francisco, CA 94114-1399

Phone

(415) 255-0400

Fax

(415) 255-0420

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 16, 2016 through May 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JH Creelman DDS Inc

  • Dental Clinic/Center
  • San Francisco, CA
  • NPI 1801339544
  NPD (past) Authorized official
• Peter Farmer DDS Inc

  • Dental Clinic/Center
  • San Francisco, CA
  • NPI 1679715932
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881721025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 MARKET ST",
            "address_2": "SUITE B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141399",
            "telephone_number": "415-255-0400",
            "fax_number": "415-255-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 MARKET ST",
            "address_2": "SUITE B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141399",
            "telephone_number": "415-255-0400",
            "fax_number": "415-255-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREELMAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Health Services Psychology Group, PC
• Bruce A. Cree, M.D.
• David Kenneth Russell Cree I
• Alison Creech
• Linda Terese Creegan, FNP
• Stephanie Creer
• Richard D. Creese, D.D.S.
• Cref3 FSLP Portfolio LLC
• Crystal Denine Cremer
• Jocelyn Cremer

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.