Natalya Komissarova, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61728 Issued in CA

Practice address

3200 Fulton St
San Francisco, CA 94118-3713

Phone

(415) 367-3444

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1467060004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DAVEY GLEN RD APT 3708",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022108",
            "telephone_number": "415-710-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 FULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183713",
            "telephone_number": "415-367-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMISSAROVA",
        "first_name": "NATALYA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin Kolotkin, M.D.
• Madeline Kolpin
• Stacey Kolsrud
• Jelena Kolundzic
• Andrew William Komashko, D.D.S.
• Jennifer Sophia Komm
• Melvin Kon
• Niathi Reddy Kona, MD
• Allan Konce, M.D.
• Sravani Kondapavulur, MD, PHD

• 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 Jul 20, 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.