Organization Active NPI

Michael Seda DMD, Ms and Mary Rachel Brinker DMD

  • Periodontics
  • San Rafael, CA
National Provider Identifier
1902072267
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
MICHAEL SEDA DMD, MS AND MARY RACHEL BRINKER DMD
Practice address
711 D St Ste 107
San Rafael, CA 94901-3703
Phone
(415) 482-9901
Fax
(415) 482-9902
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Mary Rachel Brinker, DMDNPI 1447439153
Title
Partner
Phone
(415) 482-9901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

711 D St Ste 107
San Rafael, CA 94901-3703

Mailing address

711 D St Ste 107
San Rafael, CA 94901-3703
Phone (415) 482-9901

National Provider Directory

National Provider Directory

Locations

711 D St
Ste 107
San Rafael, CA 94901
Phone (415) 482-9901

Practitioners & affiliated clinicians

Practitioners 2

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": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1902072267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 D ST STE 107",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013703",
            "telephone_number": "415-482-9901",
            "fax_number": "415-482-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 D ST STE 107",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013703",
            "telephone_number": "415-482-9901",
            "fax_number": "415-482-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SEDA DMD, MS AND MARY RACHEL BRINKER DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "BRINKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "415-482-9901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.