Individual provider Active NPI

Inna Rostker, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1730218637
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46522 Issued in CA
Practice address
109 Stevenson St Ste 200
San Francisco, CA 94105-3409
Phone
(415) 402-0707
Fax
(415) 276-6064
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46522 CA Primary

Addresses

Primary practice location

109 Stevenson St Ste 200
San Francisco, CA 94105-3409

Mailing address

109 Stevenson St Ste 200
San Francisco, CA 94105-3409
Phone (415) 402-0707

Other practice location 1

50 Post St Ste 3
San Francisco, CA 94104-4552
Phone (415) 402-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46522CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Inna Rostker, DDS a PC PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1730218637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STEVENSON ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053409",
            "telephone_number": "415-402-0707",
            "fax_number": "415-276-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 STEVENSON ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053409",
            "telephone_number": "415-402-0707",
            "fax_number": "415-276-6064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Post St Ste 3",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941044552",
            "country_code": "US",
            "telephone_number": "415-402-0707",
            "fax_number": "415-276-6064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSTKER",
        "first_name": "INNA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.