DR. KATHERYN POOLE (NPI# 1710359856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710359856 |
| Entity Type | Individual |
| Full Name | DR. KATHERYN POOLE |
| Credential | DDS |
| Practice Address |
41628 Big Bear Blvd. Big Bear Lake CA 92315 |
| Mailing Address |
Po Box 2852 41628 Big Bear Blvd Big Bear Lake CA 92315-2852 |
| Practice Telephone | 9098662646 |
| Practice Fax Number | 9098661796 |
| Mailing Telephone | 9098662848 |
| Mailing Fax Number | 9098661796 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 40110 | CA | Dental Providers |
| Street Address |
41628 BIG BEAR BLVD. |
| City | BIG BEAR LAKE |
| State | CA |
| Zip Code | 92315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154793032 | David J Poole | Dentist | 41628 Big Bear Blvd., Big Bear Lake, CA 92315-2852 | 2015-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265912711 | Kimberly Hurtarte | Case Manager/Care Coordinator | 41945 Big Bear Blvd Suite 221, 222, 223, Big Bear Lake, CA 92315 | 2018-08-15 |
| 1225522667 | Dalilah Narda Hernandez | Counselor | 41945 Big Bear Blvd Ste 221, Big Bear Lake, CA 92315 | 2018-06-19 |
| 1871001453 | Tyne Kay Henry | Case Manager/Care Coordinator | 41945 Big Bear Blvd Suites 221, 222,223, Big Bear Lake, CA 92315 | 2018-01-17 |
| 1396255212 | Tonya R. Schour | Marriage & Family Therapist | 41943 Big Bear Blvd, Big Bear Lake, CA 92315 | 2017-10-05 |
| 1639539026 | Maria Negrete | Counselor | 41945 Big Bear Blvd 222, Big Bear Lake, CA 92315 | 2016-02-29 |
| 1568827459 | Robert Miko | Acupuncturist | 42184 Moonridge Rd #4, Big Bear Lake, CA 92315 | 2015-12-21 |
| 1437556362 | Deanna Marina Almaguer Flores | Counselor | 41945 Big Bear Blvd. Suit #221 #222, Big Bear Lake, CA 92315 | 2014-11-20 |
| 1417372186 | Kelli Gora | Nurse Practitioner | 41870 Garstin Rd., Big Bear Lake, CA 92315 | 2014-03-04 |
| 1770922817 | Atomic Shrink Psychology, Inc | Psychologist | 40585 Big Bear Blvd, Suite 2, Big Bear Lake, CA 92315 | 2013-06-21 |
| 1922349976 | Shelly L. Nuzzo | Counselor | 41945 Big Bear Blvd. Suite 208, Big Bear Lake, CA 92315 | 2013-03-14 |
| Find all providers in zip 92315 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457476137 | Ra and Kim Dental Corp | Dentist | 42002 Fox Farm Road #101, Big Bear Lake, CA 92315-6951 | 2007-03-20 |
| 1063580553 | Edward Charles Dorr | Dentist | 40712 Big Bear Blvd., Big Bear Lake, CA 92315 | 2006-12-01 |
| 1770673931 | Kristine S. Yoshida | Dentist | 596 Bonanza Rd., Big Bear Lake, CA 92315-6512 | 2006-10-16 |
| 1154793032 | David J Poole | Dentist | 41628 Big Bear Blvd., Big Bear Lake, CA 92315-2852 | 2015-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | BIG BEAR LAKE |
| Zip Code | 92315 |
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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.