BRADLEY CLARK (NPI# 1407252679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407252679 |
| Entity Type | Individual |
| Full Name | BRADLEY CLARK |
| Credential | DDS |
| Practice Address |
450 Sutter St Suite 2109 San Francisco CA 94108-4206 |
| Practice Telephone | 4157812674 |
| Mailing Telephone | 4157812674 |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
CA26825 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | AC7844562 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395331 | Bradley Layton Clark | Technician | 8620 Sewell Creek Rd, Meadow Bridge, WV 25976-7674 | 2020-10-26 |
| 1124354964 | Bradley Clark | Emergency Medicine | 423 E Elaine Cir, Inkom, ID 83245-1716 | 2009-10-29 |
| 1114052966 | Bradley J Clark | Dentist | 310 S 9th Ave, Broken Bow, NE 68822-2014 | 2007-02-22 |
| 1144683863 | Bradley Layton Clark | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2016-03-31 |
| 1649532466 | Bradley J Clark | Pediatrics | 3485 W 5200 S, Roy, UT 84067-9438 | 2012-06-08 |
| 1639431307 | Bradley Walton Clark | Internal Medicine | 186 Kimel Park Dr, Winston Salem, NC 27103 | 2012-06-08 |
| 1447510722 | Bradley A Clark | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-05-21 |
| 1427383124 | Bradley W Clark | Counselor | 9333 E 21st St N, Wichita, KS 67206-2927 | 2009-10-14 |
| 1316107642 | Bradley C Clark | Pediatrics | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2008-06-10 |
| Street Address |
450 SUTTER ST SUITE 2109 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94108-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287432 | Kelvin Wayne Hall | Dentist | 450 Sutter St, Suite 1330, San Francisco, CA 94108-4206 | 2005-07-07 |
| 1376069427 | James Pak Md Incorporated | Anesthesiology | 450 Sutter St, San Francisco, CA 94108-4206 | 2017-08-21 |
| 1497280374 | Dehghani D M D Dental Corp | Dentist | 450 Sutter St, Suite 2500, San Francisco, CA 94108-4206 | 2017-04-27 |
| 1427581206 | Melissa Tuft, Dds | Dentist | 450 Sutter St, Suite 1619, San Francisco, CA 94108-4206 | 2017-04-07 |
| 1164962106 | Hps California LLC | Specialist | 450 Sutter St, San Francisco, CA 94108-4206 | 2017-02-23 |
| 1114466836 | Panorama Surgery Center, LLC | Clinic/Center | 450 Sutter St, Suite 2632, San Francisco, CA 94108-4206 | 2017-02-14 |
| 1790231256 | Golden Gate Surgery Center LLC | Clinic/Center | 450 Sutter St, 5th Fl, San Francisco, CA 94108-4206 | 2016-08-25 |
| 1831556778 | Officemd, A Medical Corporation | Clinic/Center | 450 Sutter St, Suite 1723, San Francisco, CA 94108-4206 | 2016-01-22 |
| 1689043804 | Suzie Yang | Dentist | 450 Sutter St, Rm 2500, San Francisco, CA 94108-4206 | 2015-09-17 |
| 1518333038 | Azar Sona Saeidi Dmd Inc | Dentist | 450 Sutter St, Suite 2500, San Francisco, CA 94108-4206 | 2015-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431341 | Victoria Rae Storr | Psychologist | 447 Sutter St., Ste 429, San Francisco, CA 94108 | 2019-11-07 |
| 1104307792 | Kip Therapy Licensed Clinical Social Worker, P.C. | Psychologist | 600 California, San Francisco, CA 94108 | 2018-08-22 |
| 1245735752 | Adele Z Feng | Pharmacist | 251 Kearny St Fl 7, San Francisco, CA 94108 | 2018-03-27 |
| 1659818003 | Webster Surgery Center San Francisco, Lp | Clinic/Center | 450 Sutter St - Suite 400, San Francisco, CA 94108 | 2017-01-24 |
| 1114373370 | Daniel Peixoto Irby | Psychiatry & Neurology | 360 Post St Ste #500, San Francisco, CA 94108 | 2016-05-06 |
| 1902218837 | Deschamps-braly Foundation for Pediatric Craniofacial Maladies | Surgery | 450 Sutter St. #1520, San Francisco, CA 94108 | 2014-05-27 |
| 1356694202 | Chinese Hospital | Acupuncturist | 445 Grant Avenue, Ground Floor, San Francisco, CA 94108 | 2012-10-16 |
| 1831424464 | Kara Mosesso | Nurse Practitioner | 445 Bush St Ste 300, San Francisco, CA 94108 | 2009-10-15 |
| 1043451503 | Brandon Valor Brodt | Pharmacist | 450 Sutter St., Suite 713, San Francisco, CA 94108 | 2009-03-13 |
| 1194983312 | L Todd Iverson | Dentist | 450 Sutter St #2005, San Francisco, CA 94108 | 2008-05-23 |
| Find all providers in zip 94108 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942869961 | Ucsf School of Dentistry Clinic No. 1 | Dentist | 707 Parnassus Ave # D-2000, San Francisco, CA 94143-2210 | 2019-06-12 |
| 1407339351 | Elham Shadmehr | Dentist | 707 Parnassus Ave Rm D-3000, San Francisco, CA 94143-2210 | 2018-09-06 |
| 1386035236 | Natanya Marracino Dmd, Inc | Dentist | 60 Elsie St, San Francisco, CA 94110-5107 | 2015-02-13 |
| 1073885265 | Leila Zahedi | Dentist | 415 Bryant St, Apt.3, San Francisco, CA 94107-3601 | 2012-02-02 |
| 1760769897 | Jerome Henri Stroumza | Dentist | 525 Spruce St Ste 1, San Francisco, CA 94118-2682 | 2011-11-03 |
| 1770864415 | Sahar Dadvand | Dentist | 591 Clipper St, San Francisco, CA 94114-3604 | 2011-09-08 |
| 1386922284 | Joseph Edward Dehmer | Dentist | 1488 5th Ave, San Francisco, CA 94122-3807 | 2011-07-26 |
| 1114157252 | Orapin Veerayutthwilai Horst | Dentist | 238 Shipley St, San Francisco, CA 94107-1011 | 2009-07-23 |
| 1235367723 | Cyrus Abraham Salehi | Dentist | 501 Delancey St, #309, San Francisco, CA 94107-1432 | 2009-06-23 |
| 1245412154 | David C. Brown | Dentist | 450 Sutter St Rm 1719, San Francisco, CA 94108-4101 | 2007-12-03 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.