Pool & Creighton Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

58832 Issued in CA

Legal business name

POOL & CREIGHTON DENTAL CORPORATION

Doing business as

Washington Square Park Dental

Practice address

1719 Powell St
San Francisco, CA 94133-2808

Phone

(415) 891-9773

Fax

(415) 398-4123

NPI assigned

Feb 14, 2012

Last updated

Mar 9, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jared Warren Pool, D.D.S.NPI 1316276066

Title

President

Phone

(415) 891-9773

Specialties & licenses 1

Addresses

Other names 1

• Washington Square Park Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared Warren Pool, D.D.S.

  • Dentist
  • San Francisco, CA
  • NPI 1316276066
  Authorized official Same address or phone
• Yu-Yi Grace Hsu, DMD

  • Dentist
  • San Francisco, CA
  • NPI 1124566690
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1144593682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 POWELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 POWELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332808",
            "telephone_number": "415-891-9773",
            "fax_number": "415-398-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOL & CREIGHTON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-891-9773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Square Park Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresita Tolibas Pontejos-Murphy, MD
• Jeanine Marie Pontes-Boelter, PHD
• Lynn E. Ponton, MD
• Jennifer Christina Ponzo, NP
• Poodles Inc (Animal Internal Medicine and Specialty Services)
• Bailey Mae Pool
• Jared Warren Pool, D.D.S.
• Justin Pool
• Nivedita Poola, MD
• Jennifer Lynn Poole, LMFT

• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.