UCSF SCHOOL OF DENTISTRY CLINIC NO. 1 (NPI# 1942869961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942869961 |
| Entity Type | Organization |
| Organization Name | UCSF SCHOOL OF DENTISTRY CLINIC NO. 1 |
| Other Organization Name | UCSF PREDOCTORAL UNIVERSITY PROJECT |
| Practice Address |
707 Parnassus Ave # D-2000 San Francisco CA 94143-2210 |
| Mailing Address |
707 Parnassus Avenue D1130 Box 0752 San Francisco CA 94143-2210 |
| Practice Telephone | 4154765747 |
| Practice Fax Number | 4154766110 |
| Mailing Telephone | 4154765747 |
| Mailing Fax Number | 4154766110 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | DR. MICHAEL REDDY (DEAN, SCHOOL OF DENTISTRY) |
| Authorized Official Telephone | 4154761323 |
| Authorized Official Credential | DMD, DMSC |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL UNIVERSITY PROJECT | U01002-01 | 01 |
| CA | DENTI-CAL | 1528151529 | 01 |
| Other Name | Type Code |
|---|---|
| UCSF Predoctoral University Project | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528151529 | Ucsf School of Dentistry Clinic No. 1 | Dentist | 707 Parnassus Ave, Box 0752, San Francisco, CA 94143-2210 | 2006-10-02 |
| Street Address |
707 PARNASSUS AVE # D-2000 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1316544281 | Thomas Habelt | Dentist | 2033 Taraval St Ste 101, San Francisco, CA 94116-2272 | 2020-10-05 |
| 1285249052 | Stephanie Martini | Dentist | 490 Post St Ste 830, San Francisco, CA 94102-1409 | 2020-09-09 |
| 1568070910 | Makenna Marie Vierck | Dentist | 450 Sutter St Rm 2320, San Francisco, CA 94108-4209 | 2020-07-21 |
| 1407488836 | Jocelyn Y. Skelley | Dentist | 3969 24th Street, San Francisco, CA 94114 | 2020-02-04 |
| 1588205330 | Grant Cameron Lai | Dentist | 456 Montgomery St Ste Gc-3, San Francisco, CA 94104-1233 | 2019-10-02 |
| 1942861539 | Leyli Shirvani Dds Inc. | Dentist | 450 Sutter St Rm 2130, San Francisco, CA 94108-4112 | 2019-06-25 |
| 1346708385 | Marilyn Nguyen | Dentist | 178 Church St Apt 3, San Francisco, CA 94114-1131 | 2019-03-08 |
| 1205307717 | Veronica Lee | Dentist | 1426 Fillmore St Ste 215, San Francisco, CA 94115-4164 | 2018-12-09 |
| 1356810683 | Nikole Ankrom | Dentist | 513 Parnassus Ave # S738, San Francisco, CA 94143-2205 | 2018-11-15 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.