Active NPI
Barbara Jean B Betita, D.D.S.
- General Practice Dentistry
- South San Francisco, CA
National Provider Identifier
1962577825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47035
- Practice address
- 1475 Huntington Ave Ste 306
South San Francisco, CA 94080-5967 - Phone
- (650) 215-5808
- Fax
- (650) 215-5809
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47035 | CA | Primary |
Addresses
Primary practice location
1475 Huntington Ave Ste 306
South San Francisco, CA 94080-5967
Mailing address
1475 Huntington Ave Ste 306
South San Francisco, CA 94080-5967
Phone (650) 215-5808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47035 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Dental Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1962577825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 HUNTINGTON AVE STE 306",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805967",
"telephone_number": "650-215-5808",
"fax_number": "650-215-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 HUNTINGTON AVE STE 306",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805967",
"telephone_number": "650-215-5808",
"fax_number": "650-215-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETITA",
"first_name": "BARBARA JEAN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.