Jared Warren Pool, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

58832 Issued in CA

Practice address

1719 Powell St
San Francisco, CA 94133-2808

Phone

(415) 609-3779

NPI assigned

Dec 9, 2009

Last updated

Dec 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pool & Creighton Dental Corporation

  dba Washington Square Park Dental

  • Dentist
  • San Francisco, CA
  • NPI 1144593682
  Authorized official Same address or phone
• Phoenix West Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1871358101
  NPD (past)

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1316276066",
    "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",
            "telephone_number": "415-609-3779"
        },
        {
            "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": "415-609-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "JARED",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn E. Ponton, MD
• Jennifer Christina Ponzo, NP
• Poodles Inc (Animal Internal Medicine and Specialty Services)
• Pool & Creighton Dental Corporation (Washington Square Park Dental)
• Bailey Mae Pool
• Justin Pool
• Nivedita Poola, MD
• Jennifer Lynn Poole, LMFT
• Lauren E. Poole, NP MSN
• Peggy Marie Poole, NP

• 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 Dec 9, 2009; 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.