WIEBKE BULTMAN (NPI# 1821303348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821303348 |
| Entity Type | Individual |
| Full Name | WIEBKE BULTMAN |
| Credential | D.D.S. |
| Practice Address |
1501 Superior Avenue, Suite 100 Newport Beach CA 92663 |
| Practice Telephone | 9496506772 |
| Practice Fax Number | 9496455701 |
| Mailing Telephone | 9496506772 |
| Mailing Fax Number | 9496455701 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
47048 | CA | Dental Providers |
| Street Address |
1501 SUPERIOR AVENUE, SUITE 100 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| 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 |
|---|---|---|---|---|
| 1699386698 | Ronald K. Murayama | Dentist | 122 Agate Ave Ste A, Newport Beach, CA 92662-1071 | 2020-08-12 |
| 1770129926 | Hiral Desai | Dentist | 355 Placentia Ave Ste 100, Newport Beach, CA 92663-3301 | 2019-11-22 |
| 1295272243 | Alan Gonzalez Dmd Dental Corp. | Dentist | 3012 Rivoli, Newport Beach, CA 92660-9027 | 2017-01-29 |
| 1609202365 | George Naidus | Dentist | 1401 Avocado Ave Ste 404, Newport Beach, CA 92660-7783 | 2013-09-25 |
| 1003162066 | Leo S Shin | Dentist | 1401 Avocado Ave Ste 701, Newport Beach, CA 92660-8709 | 2012-07-27 |
| 1447520127 | Michael Ditolla | Dentist | 255 Walnut St, Newport Beach, CA 92663-1941 | 2012-01-11 |
| 1356647754 | Kelli Junker Dds Inc | Dentist | 400 Newport Center Dr Ste 708, Newport Beach, CA 92660-8604 | 2011-02-02 |
| 1134438195 | Kenny Abedini Dds, A Professional Corporation | Dentist | 601 Dover Dr Ste 3, Newport Beach, CA 92663-5721 | 2010-09-24 |
| 1851524904 | Matthew Lee Riggs | Dentist | 2382 Se Bristol St, Suite A, Newport Beach, CA 92660-0756 | 2009-08-24 |
| 1174765804 | Stanley Armbruster Dds | Dentist | 3404 Via Lido, Newport Beach, CA 92663-3968 | 2009-03-26 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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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.