DR. CORENE JANNA POELMAN (NPI# 1598923674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598923674 |
| Entity Type | Individual |
| Full Name | DR. CORENE JANNA POELMAN |
| Credential | D.D.S., M.S. |
| Practice Address |
16466 Bernardo Center Dr Suite 176 San Diego CA 92128-2508 |
| Practice Telephone | 8586766709 |
| Practice Fax Number | 8586766739 |
| Mailing Telephone | 8586766709 |
| Mailing Fax Number | 8586766739 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
44355 | CA | Dental Providers |
| Street Address |
16466 BERNARDO CENTER DR SUITE 176 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053318048 | Susan Vivien B Chadkewicz | Dentist | 16466 Bernardo Center Dr, Suite 150, San Diego, CA 92128-2508 | 2005-07-05 |
| 1356795157 | Pain Allevia Medical Corporation | Physical Medicine & Rehabilitation | 16466 Bernardo Center Dr, Suite 150, San Diego, CA 92128-2522 | 2016-04-18 |
| 1124406632 | Comprehensive Pain Asc, LLC | Clinic/Center | 16466 Bernardo Center Dr, Suite 177, San Diego, CA 92128-2508 | 2015-05-16 |
| 1992901219 | Timothy Daniel Chong | Physical Medicine & Rehabilitation | 16466 Bernardo Center Dr, Suite 150, San Diego, CA 92128-2508 | 2007-06-24 |
| 1083823843 | Heidi Lou Kamrath | Dentist | 16466 Bernardo Center Dr, Suite 176, San Diego, CA 92128-2508 | 2007-05-21 |
| 1477690030 | Namita Dutta | Dentist | 16466 Bernardo Center Dr, Ste. 185, San Diego, CA 92128-2508 | 2007-01-31 |
| 1487769121 | Corene J. Poelman, D.d.s., M.s., Apc | Dentist | 16466 Bernardo Center Dr, Suite 176, San Diego, CA 92128-2508 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| 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 |
|---|---|---|---|---|
| 1245716950 | Erik Balinghasay | Dentist | 12750 Carmel Country Rd Ste 201, San Diego, CA 92130-2171 | 2018-07-16 |
| 1770010795 | Elenaz Sarshar | Dentist | 6750 Beadnell Way Unit 49, San Diego, CA 92117-5148 | 2017-05-22 |
| 1174973507 | Duc Huynh Nguyen | Dentist | 5830 Oberlin Dr Ste 103, San Diego, CA 92121-3753 | 2016-06-16 |
| 1184004517 | Sheena Howell Dmd, Inc | Dentist | 522 Thorn St, San Diego, CA 92103-5710 | 2015-06-01 |
| 1457774192 | Anthony Potente | Dentist | 4033 3rd Ave Ste 303, San Diego, CA 92103-2117 | 2014-01-31 |
| 1306156823 | Kelvin Chou | Dentist | 5783 Mission Center Rd Apt 307, San Diego, CA 92108-4918 | 2010-10-18 |
| 1285942532 | Sean Daniels | Dentist | 9750 Miramar Rd Ste 375, San Diego, CA 92126-7503 | 2010-09-21 |
| 1891950937 | William A Walker | Dentist | 2615 Clairemont Dr, San Diego, CA 92117-6634 | 2008-07-28 |
| 1891966008 | Edward William Jerge | Dentist | 3762 Clairemont Dr, San Diego, CA 92117-5916 | 2008-03-14 |
| 1750570354 | Eugene Charles Hanson | Dentist | 4065 3rd Ave Ste 300, San Diego, CA 92103-2184 | 2007-10-18 |
| 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.