Active NPI
Ian Offord, DMD, Inc.
Doing business as Signature Smiles
- General Practice Dentistry
- Petaluma, CA
National Provider Identifier
1477413102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- IAN OFFORD, DMD, INC.
- Doing business as
- Signature Smiles
- Practice address
- 515 Hayes LN
Petaluma, CA 94952-4011 - Phone
- (707) 763-0962
- NPI assigned
- Nov 14, 2025
- Last updated
- Nov 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ian J Offord, DMD
- Title
- Dentist
- Phone
- (708) 846-5773
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
515 Hayes LN
Petaluma, CA 94952-4011
Mailing address
125 Northcreek Cir
Walnut Creek, CA 94598-1314
Phone (708) 846-5773
Other names 1
- Signature Smiles
National Provider Directory
National Provider DirectoryLocations
515 Hayes Ln
Petaluma, CA 94952
Phone (707) 763-0962
Practitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Calumet City, IL
- NPI 1093489627
-
- General Practice Dentistry
- Petaluma, CA
- NPI 1912045444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1477413102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 NORTHCREEK CIR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945981314",
"telephone_number": "708-846-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 HAYES LN",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949524011",
"telephone_number": "707-763-0962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IAN OFFORD, DMD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-14",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "OFFORD",
"authorized_official_first_name": "IAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "708-846-5773",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Signature Smiles",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.