Active NPI
Caitlin Courtney Desmet, DDS
- Dentist
- Berkeley, CA
National Provider Identifier
1972169001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS102490
- Practice address
- 2435 Webster St Ste 100
Berkeley, CA 94705-2050 - Phone
- (510) 846-1660
- NPI assigned
- May 14, 2019
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DDS102490 | CA | Primary |
Addresses
Primary practice location
2435 Webster St Ste 100
Berkeley, CA 94705-2050
Mailing address
2435 Webster St Ste 100
Berkeley, CA 94705-2050
Phone (510) 846-1660
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 |
|---|---|---|---|
| DDS102490 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inna Rostker, DDS a PC | Single Specialty | 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.
-
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- San Francisco, CA
- NPI 1437704244
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1972169001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 WEBSTER ST STE 100",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052050",
"telephone_number": "510-846-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 WEBSTER ST STE 100",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052050",
"telephone_number": "510-846-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESMET",
"first_name": "CAITLIN",
"middle_name": "COURTNEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "DDS102490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.