DR. ERIK AUSTIN STALDER (NPI# 1821221664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821221664 |
| Entity Type | Individual |
| Full Name | DR. ERIK AUSTIN STALDER |
| Credential | D.D.S. |
| Practice Address |
2655 Camino Del Rio N Suite 150 San Diego CA 92108-1633 |
| Mailing Address |
1304 Law St San Diego CA 92109-2131 |
| Practice Telephone | 6192827088 |
| Practice Fax Number | 6192970504 |
| Mailing Telephone | 8583498406 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2012-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
52907 | CA | Dental Providers |
| Street Address |
2655 CAMINO DEL RIO N SUITE 150 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013907286 | Brian Douglass Stone | Allergy & Immunology | 2655 Camino Del Rio N, #120, San Diego, CA 92108-1633 | 2005-10-27 |
| 1013269539 | Allergy Partners of California, Inc. | Allergy & Immunology | 2655 Camino Del Rio N, #120, San Diego, CA 92108 | 2012-10-08 |
| 1598037178 | Wenonah Wilcox | Acupuncturist | 2655 Camino Del Rio N, Ste. 340, San Diego, CA 92108-1633 | 2012-01-30 |
| 1609165224 | Jerrame Max Wilcox | Acupuncturist | 2655 Camino Del Rio N, Ste. 340, San Diego, CA 92108-1633 | 2011-04-04 |
| 1982618153 | John Anthony Weisenseel Jr. | Dentist | 2655 Camino Del Rio N, Suite 150, San Diego, CA 92108-1633 | 2006-07-27 |
| 1548226681 | Jennifer L Kinney-bundy | Physician Assistant | 2655 Camino Del Rio N, Suite 330, San Diego, CA 92108-1633 | 2006-04-26 |
| 1104882729 | Bruce M Prenner | Allergy & Immunology | 2655 Camino Del Rio N, # 120, San Diego, CA 92108-1633 | 2006-04-22 |
| 1821054446 | Jennifer Joy Pendleton | Allergy & Immunology | 2655 Camino Del Rio N, # 120, San Diego, CA 92108-1633 | 2006-04-22 |
| 1679543599 | Kurt Gerard Hummeldorf | Dentist | 2655 Camino Del Rio N, Ste 140, San Diego, CA 92108-1633 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| 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.