Ivan a. Serdar, DMD, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45187 Issued in CA

Legal business name

IVAN A. SERDAR, DMD, INC.

Practice address

260 Stockton St
Floor 2
San Francisco, CA 94108-5305

Phone

(415) 397-1030

Fax

(415) 397-1032

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Adrian Serdar, D.M.DNPI 1457459687

Title

President

Phone

(415) 397-1030

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.

• Ivan Adrian Serdar, D.M.D.

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1457459687
  NPD (past) Authorized official
• Jarrod Craig Cornehl, D.D.S.

  • General Practice Dentistry
  • West Palm Beach, FL
  • NPI 1619975117
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1265617948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 STOCKTON ST",
            "address_2": "FLOOR 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941085305",
            "telephone_number": "415-397-1030",
            "fax_number": "415-397-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 STOCKTON ST",
            "address_2": "FLOOR 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941085305",
            "telephone_number": "415-397-1030",
            "fax_number": "415-397-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN A. SERDAR, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "SERDAR",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-397-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Ricardo Iturbe
• Itzcuintli Licensed Clinical Social Worker Inc
• Itzel Lopez
• Barbara A Iungano, D.C.
• Michael Anthony Iurato, RN
• Ivan Rodriguez, DDS Inc
• Lauren Mae Ivankovich
• Denis Ivanov, MD
• Erica Lee Ivans, MPH, PA-C
• Martha Jean Iversen, LCSW BCD

• 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 Dec 31, 2007; 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.