DR. MATTHEW B KRIEWALDT (NPI# 1336298058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336298058 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW B KRIEWALDT |
| Credential | DDS |
| Practice Address |
2310 Craven St Bldg 3230 San Diego CA 92136-5596 |
| Mailing Address |
3100 6th Ave Unit 502 San Diego CA 92103-5812 |
| Practice Telephone | 6197013900 |
| Mailing Telephone | 6197013900 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0401413701 | VA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
55521 | CA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6903-15 | WI | Dental Providers |
| Street Address |
2310 CRAVEN ST BLDG 3230 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92136-5596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639562 | Phillip James Dunsford | Dentist | 2310 Craven St Bldg 3230, San Diego, CA 92136-5596 | 2020-08-10 |
| 1588272645 | Jeffrey Evan Hunt | Dentist | 2310 Craven St Bldg 3230, San Diego, CA 92136-5596 | 2020-07-15 |
| 1477101905 | Byron Nicolas Amador | Dentist | 2310 Craven St Bldg 3230, San Diego, CA 92136-5596 | 2019-08-28 |
| 1841846086 | Miles Christian Pedersen | Dentist | 2310 Craven St Bldg 3230, San Diego, CA 92136-5596 | 2019-08-14 |
| 1396397642 | Maria Socorro Angle | Dentist | 2310 Craven St Bldg 3230, San Diego, CA 92136-5596 | 2019-07-16 |
| 1760964845 | Conrad Max Schulte | Dentist | 2310 Craven St Bldg 3230, San Diego, CA 92136-5596 | 2018-09-05 |
| 1073008470 | Matthew Richard Boufford | Dentist | 2310 Craven St Bldg 3230, San Diego, CA 92136-5596 | 2018-06-27 |
| 1538578356 | Wei Liu | Dentist | 2310 Craven St Bldg 3230, San Diego, CA 92136-5000 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930164 | Alexa Clifton | Student in an Organized Health Care Education/Training Program | 2525 Callagan Hwy, Fpo, AA 92136 | 2018-08-03 |
| 1235501321 | Family Optometric Associates of California, Inc. | Optometrist | 2260 Callahan Hwy, Bldg 3187-a, San Diego, CA 92136 | 2015-10-28 |
| 1457720427 | Andres Bargados Santamaria IIi | Military Health Care Provider | 116 Cummings Rd, San Diego, CA 92136 | 2015-09-21 |
| 1932470374 | Robert Bishop Beedles Jr. | Military Health Care Provider | 3380 Sturtevant St, Bldg 57 Second Floor, San Diego, CA 92136 | 2012-01-17 |
| 1083771877 | Brianna Leigh Rupp | General Practice | Uss Tarawa Lha 1 Fpo Ap 96622-1600, San Diego, CA 92136 | 2007-01-02 |
| 1396814836 | Alberia Joseph Davis | Military Health Care Provider | Pcd Sampson (ddg-102), 3975 Norman Scott Rd, San Diego, CA 92136 | 2006-11-07 |
| 1831275866 | Roslyn Jones Jackson | Nurse Practitioner | 2450 Craven Streeet, San Diego, CA 92136 | 2006-10-31 |
| 1699743534 | Mark L Williamson | Military Health Care Provider | 3325 Senn Road, Comdesron One Building 55 Second Floor, San Diego, CA 92136 | 2006-03-08 |
| 1467423335 | John M. Hintz | Psychologist | Branch Medical Clinic, Naval Station, San Diego, CA 92136 | 2006-01-30 |
| 1659341089 | Kenichi Carrigan | Preventive Medicine | 3235 Albacore Alley, San Diego, CA 92136 | 2006-01-26 |
| Find all providers in zip 92136 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210920 | Hiba Alabdullah | Dentist | 6482 Ambrosia Dr Apt 5106, San Diego, CA 92124-3143 | 2018-09-28 |
| 1548745300 | Cesar Augusto Manrique Moreno | Dentist | 1041 Market St Ste 165, San Diego, CA 92101-7233 | 2018-09-27 |
| 1902314834 | Jae Young Yoo | Dentist | 4765 Carmel Mountain Rd Ste 208, San Diego, CA 92130-6657 | 2018-01-12 |
| 1003326224 | Dr. Hoss, A Professional Corporation | Dentist | 11943 El Camino Real Ste 200, San Diego, CA 92130-2597 | 2017-10-02 |
| 1336668110 | Hoss Km Dental Group, A Professional Group | Dentist | 9737 Aero Dr, San Diego, CA 92123-1859 | 2017-09-13 |
| 1790136687 | Cheryl Kang Guerrero | Dentist | 3810 Valley Centre Dr Ste 902a, San Diego, CA 92130-3308 | 2016-06-22 |
| 1457748212 | Peter Mark Vrontikis | Dentist | 7777 Westside Dr Apt 469, San Diego, CA 92108-1242 | 2015-04-20 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
| 1649522913 | Budd Email Rubin | Dentist | 1145 Pacific Beach Dr, #408, San Diego, CA 92109-5194 | 2012-10-10 |
| 1700165917 | Matthew Durschlag | Dentist | 239 Laurel St Ste 201, San Diego, CA 92101-1473 | 2011-08-05 |
| Find all providers in SAN DIEGO | ||||
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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.