Active NPI
Ellen E Follmar, DDS
- Dentist
- San Diego, CA
National Provider Identifier
1417267733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58813
- Practice address
- 1670 Kettner Blvd.#314
San Diego, CA 92101 - Phone
- (206) 660-9488
- NPI assigned
- Oct 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 58813 | CA | Primary |
Addresses
Primary practice location
1670 Kettner Blvd.#314
San Diego, CA 92101
Mailing address
14521 S. Bascom Ave
Los Gatos, CA 95032
Phone (408) 356-9144
Other names 1
- Dr. Ellen E Kozarek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1417267733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14521 S. BASCOM AVE",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "95032",
"telephone_number": "408-356-9144",
"fax_number": "408-354-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 KETTNER BLVD.#314",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92101",
"telephone_number": "206-660-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLLMAR",
"first_name": "ELLEN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "KOZAREK",
"middle_name": "E",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.