Organization Active NPI

Sean Yar, D.D.S., Inc.

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1952558975
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54397 Issued in CA
Legal business name
SEAN YAR, D.D.S., INC.
Practice address
3355 Iowa Ave
Suite # C
Riverside, CA 92507-3690
Phone
(951) 682-5777
Fax
(714) 780-1332
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Dr. Sean Yar, D.D.S.
Title
President
Phone
(951) 682-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54397 CA Primary

Addresses

Primary practice location

3355 Iowa Ave
Suite # C
Riverside, CA 92507-3690

Mailing address

3355 Iowa Ave
Suite # C
Riverside, CA 92507-3690
Phone (951) 682-5777

Other names 1

  • Ace Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ace Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3355 Iowa Ave
Ste C
Riverside, CA 92507
Phone (951) 682-5777

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1952558975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 IOWA AVE",
            "address_2": "SUITE # C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073690",
            "telephone_number": "951-682-5777",
            "fax_number": "714-780-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 IOWA AVE",
            "address_2": "SUITE # C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073690",
            "telephone_number": "951-682-5777",
            "fax_number": "714-780-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN YAR, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "YAR",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-682-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ace Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.