MAKENNA MARIE VIERCK (NPI# 1568070910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568070910 |
| Entity Type | Individual |
| Full Name | MAKENNA MARIE VIERCK |
| Credential | DMD |
| Practice Address |
450 Sutter St Rm 2320 San Francisco CA 94108-4209 |
| Mailing Address |
801 Lynch Rd Petaluma CA 94954-9526 |
| Practice Telephone | 4253972500 |
| Mailing Telephone | 4802059693 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
105050 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3580 California St Ste 204, San Francisco, CA 941181717 | 4155632022 |
| Street Address |
450 SUTTER ST RM 2320 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94108-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431341 | Victoria Rae Storr | Psychologist | 447 Sutter St., Ste 429, San Francisco, CA 94108 | 2019-11-07 |
| 1104307792 | Kip Therapy Licensed Clinical Social Worker, P.C. | Psychologist | 600 California, San Francisco, CA 94108 | 2018-08-22 |
| 1245735752 | Adele Z Feng | Pharmacist | 251 Kearny St Fl 7, San Francisco, CA 94108 | 2018-03-27 |
| 1659818003 | Webster Surgery Center San Francisco, Lp | Clinic/Center | 450 Sutter St - Suite 400, San Francisco, CA 94108 | 2017-01-24 |
| 1114373370 | Daniel Peixoto Irby | Psychiatry & Neurology | 360 Post St Ste #500, San Francisco, CA 94108 | 2016-05-06 |
| 1902218837 | Deschamps-braly Foundation for Pediatric Craniofacial Maladies | Surgery | 450 Sutter St. #1520, San Francisco, CA 94108 | 2014-05-27 |
| 1356694202 | Chinese Hospital | Acupuncturist | 445 Grant Avenue, Ground Floor, San Francisco, CA 94108 | 2012-10-16 |
| 1831424464 | Kara Mosesso | Nurse Practitioner | 445 Bush St Ste 300, San Francisco, CA 94108 | 2009-10-15 |
| 1043451503 | Brandon Valor Brodt | Pharmacist | 450 Sutter St., Suite 713, San Francisco, CA 94108 | 2009-03-13 |
| 1194983312 | L Todd Iverson | Dentist | 450 Sutter St #2005, San Francisco, CA 94108 | 2008-05-23 |
| Find all providers in zip 94108 | ||||
| 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 |
| 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 |
| 1699250837 | Roza Poghosyan | Dentist | 2713 44th Ave Apt 5, San Francisco, CA 94116-2641 | 2018-10-03 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94108 |
Please comment or provide details below to improve the information on MAKENNA MARIE VIERCK.
| 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.