Dr Iverson and Dr Syers

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50614 Issued in CA

Legal business name

DR IVERSON AND DR SYERS

Practice address

450 Sutter St
2005
San Francisco, CA 94108-4206

Phone

(415) 398-1017

Fax

(415) 398-1099

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Lee Todd Iverson, DDS

Title

Partner

Phone

(415) 398-1017

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.

• L Todd Iverson, DDS

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1194983312
  NPD (past)
• Tracy Syers, DDS

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1275867350
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1598098154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST",
            "address_2": "2005",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084206",
            "telephone_number": "415-398-1017",
            "fax_number": "415-398-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST",
            "address_2": "2005",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084206",
            "telephone_number": "415-398-1017",
            "fax_number": "415-398-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR IVERSON AND DR SYERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "415-398-1017",
        "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": "50614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 15, 2009; 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.