J. Siderman DDS a Professional Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

41789 Issued in CA

Legal business name

J. SIDERMAN DDS A PROFESSIONAL DENTAL CORPORATION

Practice address

9202 Alondra Blvd
Bellflower, CA 90706-4210

Phone

(562) 246-9989

Fax

(562) 263-9667

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Jerry Siderman, DDS

Title

Owner

Phone

(562) 246-9989

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hyunsuk Choi, DDS

  • General Practice Dentistry
  • Loma Linda, CA
  • NPI 1518262161
  NPD (past)

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1730667601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 ALONDRA BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064210",
            "telephone_number": "562-246-9989",
            "fax_number": "562-263-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 ALONDRA BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064210",
            "telephone_number": "562-246-9989",
            "fax_number": "562-263-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. SIDERMAN DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "SIDERMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-246-9989",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guiomar C. Iriarte, MD
• Mark Ishihara, PHARM.D.
• Carol R. Ishimatsu, MD
• Nare Iskikian
• Cinthya Islas, MSW
• Donetta Jackson
• Jacky & Angie Residential Care
• Farnaz Jahangiri, DDS
• Foad Jahansouz, PHARMD
• Jaire Home, Inc.

• Dental Clinic/Center in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.