DR. MATTHEW DURSCHLAG (NPI# 1700165917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700165917 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DURSCHLAG |
| Credential | D.D.S., MS |
| Practice Address |
239 Laurel St Ste 201 San Diego CA 92101-1473 |
| Mailing Address |
11921 Carmel Creek Rd Apt 109 San Diego CA 92130-2566 |
| Practice Telephone | 6192915266 |
| Mailing Telephone | 8582487005 |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
33658 | TX | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
60558 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Psc 557 Box 2997, Fpo, AP 963792997 | 3156452390 |
| Street Address |
239 LAUREL ST STE 201 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366819 | Durschlag Dental Corp | Dentist | 239 Laurel St Ste 201, San Diego, CA 92101-1473 | 2020-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210920 | Hiba Alabdullah | Dentist | 6482 Ambrosia Dr Apt 5106, San Diego, CA 92124-3143 | 2018-09-28 |
| 1548745300 | Cesar Augusto Manrique Moreno | Dentist | 1041 Market St Ste 165, San Diego, CA 92101-7233 | 2018-09-27 |
| 1902314834 | Jae Young Yoo | Dentist | 4765 Carmel Mountain Rd Ste 208, San Diego, CA 92130-6657 | 2018-01-12 |
| 1003326224 | Dr. Hoss, A Professional Corporation | Dentist | 11943 El Camino Real Ste 200, San Diego, CA 92130-2597 | 2017-10-02 |
| 1336668110 | Hoss Km Dental Group, A Professional Group | Dentist | 9737 Aero Dr, San Diego, CA 92123-1859 | 2017-09-13 |
| 1790136687 | Cheryl Kang Guerrero | Dentist | 3810 Valley Centre Dr Ste 902a, San Diego, CA 92130-3308 | 2016-06-22 |
| 1457748212 | Peter Mark Vrontikis | Dentist | 7777 Westside Dr Apt 469, San Diego, CA 92108-1242 | 2015-04-20 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
| 1649522913 | Budd Email Rubin | Dentist | 1145 Pacific Beach Dr, #408, San Diego, CA 92109-5194 | 2012-10-10 |
| 1144549833 | Brittany Koncz | Dentist | 9737 Aero Dr Ste 210, San Diego, CA 92123 | 2010-05-20 |
| Find all providers in SAN DIEGO | ||||
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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.