DR. ERLINE DIONA POERWANTO (NPI# 1194152736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194152736 |
| Entity Type | Individual |
| Full Name | DR. ERLINE DIONA POERWANTO |
| Credential | D.D.S |
| Practice Address |
2155 Webster Street San Francisco CA 94115 |
| Mailing Address |
Po Box 7194 Stockton CA 95267-0194 |
| Practice Telephone | 2099103505 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 62687 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
62687 | CA | Dental Providers |
| Street Address |
2155 WEBSTER STREET |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1316544281 | Thomas Habelt | Dentist | 2033 Taraval St Ste 101, San Francisco, CA 94116-2272 | 2020-10-05 |
| 1285249052 | Stephanie Martini | Dentist | 490 Post St Ste 830, San Francisco, CA 94102-1409 | 2020-09-09 |
| 1568070910 | Makenna Marie Vierck | Dentist | 450 Sutter St Rm 2320, San Francisco, CA 94108-4209 | 2020-07-21 |
| 1407488836 | Jocelyn Y. Skelley | Dentist | 3969 24th Street, San Francisco, CA 94114 | 2020-02-04 |
| 1588205330 | Grant Cameron Lai | Dentist | 456 Montgomery St Ste Gc-3, San Francisco, CA 94104-1233 | 2019-10-02 |
| 1942861539 | Leyli Shirvani Dds Inc. | Dentist | 450 Sutter St Rm 2130, San Francisco, CA 94108-4112 | 2019-06-25 |
| 1346708385 | Marilyn Nguyen | Dentist | 178 Church St Apt 3, San Francisco, CA 94114-1131 | 2019-03-08 |
| 1205307717 | Veronica Lee | Dentist | 1426 Fillmore St Ste 215, San Francisco, CA 94115-4164 | 2018-12-09 |
| 1356810683 | Nikole Ankrom | Dentist | 513 Parnassus Ave # S738, San Francisco, CA 94143-2205 | 2018-11-15 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
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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.