Individual provider Active NPI

Todor Stavrev, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Francisco, CA
National Provider Identifier
1184015976
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
63514 Issued in CA
Practice address
260 Stockton St FL 3
San Francisco, CA 94108-5314
Phone
(415) 399-9200
NPI assigned
Feb 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 63514 CA Primary

Addresses

Primary practice location

260 Stockton St FL 3
San Francisco, CA 94108-5314

Mailing address

260 Stockton St FL 3
San Francisco, CA 94108-5314
Phone (415) 399-9200

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
63514CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Todor Stavrev DDS Ms Inc Orthodontics and Dentofacial Orthopedics CurrentSince Aug 1, 2020 Accepting new patients
Good and Sears, DMD, Inc., Orthodontic Dental Practice Orthodontics and Dentofacial Orthopedics PastSince Jul 17, 2021 Accepting new patients

Locations

260 Stockton St
Fl 3
San Francisco, CA 94108
Phone (415) 399-9200

490 Post St
Ste 520
San Francisco, CA 94102
Phone (415) 986-4534

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1184015976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 STOCKTON ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941085314",
            "telephone_number": "415-399-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 STOCKTON ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941085314",
            "telephone_number": "415-399-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVREV",
        "first_name": "TODOR",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-15",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "63514",
            "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 Jul 7, 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.

Verify at the official NPI Registry.