NPIMap

Organization Active NPI

University of the Pacific Arthur a. Dugoni School of Dentistry

  • Endodontics
  • San Francisco, CA
National Provider Identifier
1952725863
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY
Practice address
155 5TH St
Endodontic Clinic Suite 2E
San Francisco, CA 94103-2919
Phone
(415) 929-6501
Fax
(415) 929-6654
NPI assigned
Feb 12, 2014
Organization subpart
Yes
Parent organization
UNIVERSITY OF THE PACIFICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Ed Pegueros
Title
Asst Dean, Budget & Fin Admin
Phone
(415) 351-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

155 5TH St
Endodontic Clinic Suite 2E
San Francisco, CA 94103-2919

Mailing address

155 5TH St
Endodontic Clinic Suite 2E
San Francisco, CA 94103-2919
Phone (415) 929-6501

Other names 1

  • Endodontic Residency Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
University of the Pacific Arthur a Dugoni School of Dentistry29 organizations share this tax ID, including this one
Part of
University of the Pacific Arthur a Dugoni School of Dentistry

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1952725863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "address_2": "ENDODONTIC CLINIC SUITE 2E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6501",
            "fax_number": "415-929-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "address_2": "ENDODONTIC CLINIC SUITE 2E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6501",
            "fax_number": "415-929-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF THE PACIFIC",
        "enumeration_date": "2014-02-12",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "PEGUEROS",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "ASST DEAN, BUDGET & FIN ADMIN",
        "authorized_official_telephone_number": "415-351-7192"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontic Residency Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Endodontic Residency Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 15, 2020; 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.