Organization Active NPI

De Stefano Dental Corporation

  • Dental Clinic/Center
  • San Francisco, CA
National Provider Identifier
1992356018
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DE STEFANO DENTAL CORPORATION
Practice address
450 Sutter St RM 2522
San Francisco, CA 94108-4208
Phone
(415) 576-9005
Fax
(866) 292-7258
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Aparna Subramanian, DDS
Title
Owner
Phone
(415) 576-9005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

450 Sutter St RM 2522
San Francisco, CA 94108-4208

Mailing address

450 Sutter St RM 2522
San Francisco, CA 94108-4208
Phone (415) 576-9005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1992356018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 2522",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084208",
            "telephone_number": "415-576-9005",
            "fax_number": "866-292-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 2522",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084208",
            "telephone_number": "415-576-9005",
            "fax_number": "866-292-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE STEFANO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "SUBRAMANIAN",
        "authorized_official_first_name": "APARNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-576-9005",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 20, 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.