Organization Active NPI

Robert H. Iezman, DDS and Seth R. Osterman, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Berkeley, CA
National Provider Identifier
1841492584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
43056 Issued in CA
Legal business name
ROBERT H. IEZMAN, DDS AND SETH R. OSTERMAN, DDS
Practice address
2999 Regent St
Suite 408
Berkeley, CA 94705-2146
Phone
(510) 849-3613
Fax
(510) 849-3658
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Seth Robert Osterman, D.D.S., M.S.
Title
General Partner- Orthodontist
Phone
(510) 849-3613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 43056 CA Primary

Addresses

Primary practice location

2999 Regent St
Suite 408
Berkeley, CA 94705-2146

Mailing address

2999 Regent St
Suite 408
Berkeley, CA 94705-2146
Phone (510) 849-3613

National Provider Directory

National Provider Directory

Locations

2999 Regent St
Ste 408
Berkeley, CA 94705
Phone (510) 849-3613

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841492584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "SUITE 408",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052146",
            "telephone_number": "510-849-3613",
            "fax_number": "510-849-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "SUITE 408",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052146",
            "telephone_number": "510-849-3613",
            "fax_number": "510-849-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H. IEZMAN, DDS AND SETH R. OSTERMAN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSTERMAN",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "GENERAL PARTNER- ORTHODONTIST",
        "authorized_official_telephone_number": "510-849-3613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "43056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.