Organization Active NPI

Antipov Dental Inc

  • Dental Clinic/Center
  • San Francisco, CA
National Provider Identifier
1922510189
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
61522 Issued in CA
Legal business name
ANTIPOV DENTAL INC
Practice address
490 Post St Ste 1022
San Francisco, CA 94102-1301
Phone
(415) 800-7594
Fax
(415) 800-7969
NPI assigned
Oct 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Olga Antipova
Title
Doctor
Phone
(415) 800-7594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 61522 CA Primary

Addresses

Primary practice location

490 Post St Ste 1022
San Francisco, CA 94102-1301

Mailing address

490 Post St Ste 1022
San Francisco, CA 94102-1301
Phone (415) 800-7594

National Provider Directory

National Provider Directory

Locations

490 Post St
Ste 1022
San Francisco, CA 94102
Phone (415) 800-7594

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1922510189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 1022",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021301",
            "telephone_number": "415-800-7594",
            "fax_number": "415-800-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 1022",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021301",
            "telephone_number": "415-800-7594",
            "fax_number": "415-800-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIPOV DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "ANTIPOVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "415-800-7594"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "61522",
            "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 Nov 21, 2017; 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.