Ivan Rodriguez, DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

42219 Issued in CA

Legal business name

IVAN RODRIGUEZ, DDS INC

Practice address

2460 Mission St, Suite 222
San Francisco, CA 94110

Phone

(415) 642-6777

Fax

(415) 642-6778

NPI assigned

Nov 1, 2013

Organization subpart

No

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

Authorized official

Name

Vicky Lourdes Flores, RDA

Title

Office Manager

Phone

(415) 642-6777

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.

• Ivan Rodriguez, DDS

  • Dentist
  • San Francisco, CA
  • NPI 1841403318
  NPD (past)

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1770912651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 MISSION ST, SUITE 222",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-642-6777",
            "fax_number": "415-642-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 MISSION ST, SUITE 222",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-642-6777",
            "fax_number": "415-642-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN RODRIGUEZ, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "LOURDES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-642-6777",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Itzcuintli Licensed Clinical Social Worker Inc
• Itzel Lopez
• Barbara A Iungano, D.C.
• Michael Anthony Iurato, RN
• Ivan a. Serdar, DMD, Inc.
• Lauren Mae Ivankovich
• Denis Ivanov, MD
• Erica Lee Ivans, MPH, PA-C
• Martha Jean Iversen, LCSW BCD
• L Todd Iverson, DDS

• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.