UCSF School of Dentistry Clinic No. 1

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

UCSF SCHOOL OF DENTISTRY CLINIC NO. 1

Practice address

707 Parnassus Ave # D-2000
San Francisco, CA 94143-2210

Phone

(415) 476-5747

Fax

(415) 476-6110

NPI assigned

Jun 12, 2019

Organization subpart

Yes

Parent organization

REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

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 3

Addresses

Other identifiers 2

Other names 1

• UCSF Predoctoral University Project Doing business as

Tax ID family

UCSF Dental Center2 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.

• UCSF School of Dentistry Clinic No. 1

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1528151529
  NPD tax ID

Locations

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1942869961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVENUE D1130",
            "address_2": "BOX 0752",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432210",
            "telephone_number": "415-476-5747",
            "fax_number": "415-476-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE # D-2000",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432210",
            "telephone_number": "415-476-5747",
            "fax_number": "415-476-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF SCHOOL OF DENTISTRY CLINIC NO. 1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2019-06-12",
        "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": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL UNIVERSITY PROJECT",
            "identifier": "U01002-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "1528151529",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF Predoctoral University Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• UCSF Periodontal Specialty Clinic
• UCSF Periodontal Specialty Clinic
• UCSF Psychiatry
• UCSF School of Dentistry
• UCSF School of Dentistry Clinic No. 1
• UCSF School of Medicine
• UCSF SFGH Clinical Practice Group
• UCSF SFGH Maxillo Facial Surgery CL. #20-4
• UCSF Student Health and Counseling Services
• UCSF Valencia Pediatric Practice

• 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 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.