Individual provider Active NPI

Yuly Vilderman, DDS

  • Dentist
  • San Francisco, CA
National Provider Identifier
1760601173
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41689 Issued in CA
Practice address
2233 Post St
Ste 102
San Francisco, CA 94115-3470
Phone
(415) 567-2900
Fax
(415) 567-0193
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41689 CA Primary

Addresses

Primary practice location

2233 Post St
Ste 102
San Francisco, CA 94115-3470

Mailing address

2233 Post St
Ste 102
San Francisco, CA 94115-3470
Phone (415) 567-2900

Other identifiers 1

IdentifierTypeStateIssuer
D41689MedicaidCA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yuly Vilderman Professional Dental Corporation CurrentSince Jun 22, 2021 Accepting new patients

Locations

2233 Post St
Ste 102
San Francisco, CA 94115
Phone (415) 567-2900

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760601173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 POST ST",
            "address_2": "STE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153470",
            "telephone_number": "415-567-2900",
            "fax_number": "415-567-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 POST ST",
            "address_2": "STE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153470",
            "telephone_number": "415-567-2900",
            "fax_number": "415-567-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILDERMAN",
        "first_name": "YULY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D41689",
            "state": "CA"
        }
    ],
    "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 Jul 8, 2007; 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.