NPIMap

Organization Active NPI

I. Gerodias, M. Perea-Corkish, and E. Wang, DDS, Inc.

  • Pediatric Dentistry
  • San Francisco, CA
National Provider Identifier
1003252941
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
I. GERODIAS, M. PEREA-CORKISH, AND E. WANG, DDS, INC.
Practice address
1700 California St
Suite 200
San Francisco, CA 94109-4582
Phone
(415) 441-7766
Fax
(415) 441-1919
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Ignatius Nate Gerodias, D.D.S.
Title
President
Phone
(415) 441-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1700 California St
Suite 200
San Francisco, CA 94109-4582

Mailing address

1700 California St
Suite 200
San Francisco, CA 94109-4582
Phone (415) 441-7766

Other names 1

  • Discovery Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1003252941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST",
            "address_2": "SUITE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094582",
            "telephone_number": "415-441-7766",
            "fax_number": "415-441-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST",
            "address_2": "SUITE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094582",
            "telephone_number": "415-441-7766",
            "fax_number": "415-441-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. GERODIAS, M. PEREA-CORKISH, AND E. WANG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "GERODIAS",
        "authorized_official_first_name": "IGNATIUS",
        "authorized_official_middle_name": "NATE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-441-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 21, 2013; 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.