Individual provider Active NPI

Richard D. Creese, D.D.S.

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1962538256
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23998 Issued in CA
Practice address
450 Sutter St
San Francisco, CA 94108-4206
Phone
(415) 986-5886
Fax
(415) 986-5250
NPI assigned
Feb 23, 2007
Last updated
May 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2018

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 23998 CA Primary

Addresses

Primary practice location

450 Sutter St
San Francisco, CA 94108-4206

Mailing address

450 Sutter St RM 2031
San Francisco, CA 94108-4109
Phone (415) 986-5886

Other identifiers 1

IdentifierTypeStateIssuer
23998OtherCADENTIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161005002182 CA Order and Referring Only - DentistPractitioner - Dentist 9931497070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1962538256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 2031",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084109",
            "telephone_number": "415-986-5886",
            "fax_number": "415-986-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084206",
            "telephone_number": "415-986-5886",
            "fax_number": "415-986-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREESE",
        "first_name": "RICHARD",
        "middle_name": "D.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "23998",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.