NPIMap

Organization Active NPI

Viktoriya Seliverstova, DDS Inc.

  • General Practice Dentistry
  • Rocklin, CA
National Provider Identifier
1437307253
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50821 Issued in CA
Legal business name
VIKTORIYA SELIVERSTOVA, DDS INC.
Practice address
2160 Sunset Blvd
Suite # 501
Rocklin, CA 95765-4790
Phone
(916) 787-4141
Fax
(916) 787-4110
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Dr. Viktoriya Seliverstova, DDSNPI 1619084621
Title
Ceo
Phone
(916) 787-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 50821 CA Primary

Addresses

Primary practice location

2160 Sunset Blvd
Suite # 501
Rocklin, CA 95765-4790

Mailing address

2160 Sunset Blvd
Suite # 501
Rocklin, CA 95765-4790
Phone (916) 787-4141

Other names 1

  • Rocklin Plaza Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2160 Sunset Blvd
Ste 501
Rocklin, CA 95765
Phone (916) 787-4141

Practitioners & affiliated clinicians

Practitioners 1

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": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1437307253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 SUNSET BLVD",
            "address_2": "SUITE # 501",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654790",
            "telephone_number": "916-787-4141",
            "fax_number": "916-787-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 SUNSET BLVD",
            "address_2": "SUITE # 501",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654790",
            "telephone_number": "916-787-4141",
            "fax_number": "916-787-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKTORIYA SELIVERSTOVA, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "SELIVERSTOVA",
        "authorized_official_first_name": "VIKTORIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-787-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocklin Plaza Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.