City Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40753 Issued in CA

Legal business name

CITY DENTAL OFFICE

Practice address

2675 Geary Blvd Ste 400
San Francisco, CA 94118-3443

Phone

(415) 776-8581

Fax

(415) 441-6224

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Vilderman, DDS

Title

Dentist

Phone

(415) 776-8581

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mikhail L Tsotsiashvili, DDS

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1629197710
  NPD (past)
• Nataly Vilderman, DDS

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1366576753
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013036193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 GEARY BLVD STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183443",
            "telephone_number": "415-776-8581",
            "fax_number": "415-441-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 GEARY BLVD STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183443",
            "telephone_number": "415-776-8581",
            "fax_number": "415-441-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILDERMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "415-776-8581",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City and Couny of San Francisco (San Francisco City & County SFGH Nuclear Medicine)
• City and Couny of San Francisco (Chinatown Child Development Center)
• City and Couny of San Francisco (Special Programs for Youth (SPY))
• City Bay Urgent Care, a Medical Corporation (City Bay Urgent Care)
• City Church San Francisco
• City Family Chiropractic, Inc
• City Imaging
• City Medical Transportation LLC
• City Psychiatry and Wellness, Inc.
• City Surgical Center, LLC

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.