ERICK SURYADI LUKMAN (NPI# 1265767719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265767719 |
| Entity Type | Individual |
| Full Name | ERICK SURYADI LUKMAN |
| Credential | D.M.D. |
| Practice Address |
2480 Mission St Ste 325 San Francisco CA 94110-2463 |
| Mailing Address |
1124 Eddy St Unit A San Francisco CA 94109-7669 |
| Practice Telephone | 4152857700 |
| Practice Fax Number | 4152857755 |
| Mailing Telephone | 8582322089 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2012-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
58758 | CA | Dental Providers |
| Street Address |
2480 MISSION ST STE 325 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215034285 | Stephen Buck | Dentist | 2480 Mission St Ste 325, San Francisco, CA 94110-2463 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| 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 |
|---|---|---|---|---|
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1316544281 | Thomas Habelt | Dentist | 2033 Taraval St Ste 101, San Francisco, CA 94116-2272 | 2020-10-05 |
| 1285249052 | Stephanie Martini | Dentist | 490 Post St Ste 830, San Francisco, CA 94102-1409 | 2020-09-09 |
| 1568070910 | Makenna Marie Vierck | Dentist | 450 Sutter St Rm 2320, San Francisco, CA 94108-4209 | 2020-07-21 |
| 1407488836 | Jocelyn Y. Skelley | Dentist | 3969 24th Street, San Francisco, CA 94114 | 2020-02-04 |
| 1588205330 | Grant Cameron Lai | Dentist | 456 Montgomery St Ste Gc-3, San Francisco, CA 94104-1233 | 2019-10-02 |
| 1942861539 | Leyli Shirvani Dds Inc. | Dentist | 450 Sutter St Rm 2130, San Francisco, CA 94108-4112 | 2019-06-25 |
| 1346708385 | Marilyn Nguyen | Dentist | 178 Church St Apt 3, San Francisco, CA 94114-1131 | 2019-03-08 |
| 1205307717 | Veronica Lee | Dentist | 1426 Fillmore St Ste 215, San Francisco, CA 94115-4164 | 2018-12-09 |
| 1356810683 | Nikole Ankrom | Dentist | 513 Parnassus Ave # S738, San Francisco, CA 94143-2205 | 2018-11-15 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
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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.