Serenity Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40753 Issued in CA

Legal business name

SERENITY DENTAL OFFICE

Practice address

4130 Truxel Rd
#E
Sacramento, CA 95834-3760

Phone

(916) 285-9400

Fax

(916) 285-8636

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Alexander Vilderman, DDSNPI 1225160716

Title

Owner

Phone

(916) 285-9400

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Alexander Vilderman, DDS

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1225160716
  NPD (past) Authorized official
• Shahryar Khodai, DDS

  • Dentist
  • Roseville, CA
  • NPI 1457614539
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972625648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 TRUXEL RD",
            "address_2": "#E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343760",
            "telephone_number": "916-285-9400",
            "fax_number": "916-285-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 TRUXEL RD",
            "address_2": "#E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343760",
            "telephone_number": "916-285-9400",
            "fax_number": "916-285-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILDERMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-285-9400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian L. Serdahl, M.D.
• Sannaporn Sereevinyayut, MD
• Serene Health
• Serenity Bean Family and Marriage Therapy, Professional Organization (Serenity Bean Therapy)
• Serenity Care Villa, Inc (Serenity Care Villa)
• Serenity Wellness Nursing Practice Inc
• Roya Sereshki, PHARMD
• Monique Sergeeff
• Sergey Mahtesyan DDS, Inc (Fine Touch Dental)
• Sergio Vicuna, D.D.S., Inc (Midtown Modern Dental Group)

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• 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.