Mikhail Berdichevsky, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

41158 Issued in CA

Practice address

4444 Geary Blvd
Suite 303
San Francisco, CA 94118-3048

Phone

(415) 386-5590

Fax

(413) 751-1580

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

• Mikhail Berdichevsky, D.D.S., Inc.

  • Dental Clinic/Center
  • San Francisco, CA
  • NPI 1992835425
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1821178344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 GEARY BLVD",
            "address_2": "SUITE 303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183048",
            "telephone_number": "415-386-5590",
            "fax_number": "413-751-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 GEARY BLVD",
            "address_2": "SUITE 303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183048",
            "telephone_number": "415-386-5590",
            "fax_number": "413-751-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDICHEVSKY",
        "first_name": "MIKHAIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Bercasio
• Brenda Meryl Siegel Bercun
• Corey S. Bercun, PH..D.
• Janelle Alyse Bercun, LCSW
• Josh Berd, D.D.S.
• Sara Elizabeth Berdy, NP
• Kristen Berendzen, M.D., PH.D.
• Anastasia Berezovskaya, PSY.D.
• Anna E Berg, LCSW
• Caitlin Berg, O.T.

• 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 Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.