Organization Active NPI

UCSF Buchanan Community Dental Center CL #8

Doing business as UCSF Buchanan Community Dental Center Clinic #8

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1912090945
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2032 Issued in CA
Legal business name
UCSF BUCHANAN COMMUNITY DENTAL CENTER CL #8
Doing business as
UCSF Buchanan Community Dental Center Clinic #8
Practice address
100 Buchanan St
San Francisco, CA 94102-6147
Phone
(415) 476-5608
Fax
(415) 476-0408
NPI assigned
Oct 2, 2006
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Dr. Michael Reddy, DMD,DMSC
Title
Dean, School of Dentistry
Phone
(415) 476-1323

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2032 CA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2090 CA
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 2101 CA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 2076 CA

Addresses

Primary practice location

100 Buchanan St
San Francisco, CA 94102-6147

Mailing address

100 Buchanan St
San Francisco, CA 94102-6147
Phone (415) 476-5608

Other identifiers 1

IdentifierTypeStateIssuer
G0115601OtherCADENTICAL

Other names 1

  • UCSF Buchanan Community Dental Center Clinic #8 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
UCSF Buchanan Community Dental Center CL 82 organizations share this tax ID, including this one
Part of
UCSF Diaysis Medical

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1912090945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BUCHANAN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026147",
            "telephone_number": "415-476-5608",
            "fax_number": "415-476-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUCHANAN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026147",
            "telephone_number": "415-476-5608",
            "fax_number": "415-476-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF BUCHANAN COMMUNITY DENTAL CENTER CL #8",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DEAN, SCHOOL OF DENTISTRY",
        "authorized_official_telephone_number": "415-476-1323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,DMSC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "2032",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "2090",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "2101",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "2076",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G0115601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF Buchanan Community Dental Center Clinic #8",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCSF Buchanan Community Dental Center Clinic #8",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2019; 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.