Erin Anne Kolling, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D012260 Issued in AZ

Practice address

21219 Questhaven Rd
San Marcos, CA 92078-3410

Phone

(320) 309-6791

NPI assigned

May 30, 2008

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1871751339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WIND DRIFT DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111128",
            "telephone_number": "320-309-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21219 QUESTHAVEN RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920783410",
            "telephone_number": "320-309-6791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12000 SE 82nd Ave Ste 1145",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970867735",
            "country_code": "US",
            "telephone_number": "503-653-9870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLING",
        "first_name": "ERIN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12510",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9692",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D012260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne N Kobayashi, DDS
• Jennifer Lynn Koch, LCSW
• Leonard Yoshio Koda, PH.D.
• Kathryn M Kohout, FNP
• Michael Joseph Kolasa, LMFT
• Christine Koraiban, RN BSN LC
• Matthew John Kosel, PA-C
• Cassandra Omara Kostendt
• George Koumaras, PHD
• Devyn Kowitz

• Pediatric Dentistry in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.