Individual provider Active NPI

Alfredo Espiritu Dela Rosa Sr., DMD

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1912045725
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43776 Issued in CA
Practice address
4867 Mission St
San Francisco, CA 94112-3413
Phone
(415) 585-6216
Fax
(415) 333-4726
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 43776 CA Primary

Addresses

Primary practice location

4867 Mission St
San Francisco, CA 94112-3413

Mailing address

4867 Mission St.Reet
San Francisco, CA 94112-3413
Phone (415) 585-6216

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
43776CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ar Dental Care Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adelarosa@direct.westerndental.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912045725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 MISSION ST.REET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123413",
            "telephone_number": "415-585-6216",
            "fax_number": "415-333-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123413",
            "telephone_number": "415-585-6216",
            "fax_number": "415-333-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA ROSA",
        "first_name": "ALFREDO",
        "middle_name": "ESPIRITU",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43776",
            "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 Jul 8, 2007; 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.