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THOMAS S. POELMAN DDS
NPI 1093372591
Dentist - General Practice in Los Angeles, CA

Active since May 21, 2019PECOS Enrolled
2100 W 3RD ST STE 220, LOS ANGELES, CA 90057(213) 413-8742 Get Directions Write a Review

NPPES record last updated: December 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 24, 2020, Oct 8, 2019, May 21, 2019 (3 updates tracked since 2019).

About Thomas S. Poelman Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS S. POELMAN DDS (NPI 1093372591) is an individual general practice provider in Los Angeles, California, licensed in California (102703) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093372591
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTHOMAS S. POELMANCredential: DDS
Location Address2100 W 3RD ST STE 220Los Angeles, CA 90057-1993
Mailing Address2100 W 3rd St Ste 220Los Angeles, CA 90057-1993
Phone(213) 413-8742
Sole ProprietorNo
Enumeration DateMay 21, 2019
Last NPPES UpdateDecember 24, 20203 updates tracked since enumeration
NPPES CertifiedDecember 24, 2020
✔ NPI 1093372591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 102703✔ Licensed in MA · DN1858383
Definition
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.
2100 W 3RD ST STE 220, Los Angeles, CA 90057
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas S. Poelman Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALTAMED HEALTH SERVICES CORP
Clinic/Center (Federally Qualified Health Center (FQHC))
2100 W 3RD ST STE 220
LOS ANGELES, CA 90057
Los Angeles County (888) 499-9303
LISSIE JEANNINE VIGIL ROMERO NURSE PRACTITIONER
Nurse Practitioner (Family)
2100 W 3RD ST STE 220
LOS ANGELES, CA 90057
Los Angeles County (323) 765-6660
DR. LENNY MAYORGA DDS
Dentist (Pediatric Dentistry)
2100 W 3RD ST STE 220
LOS ANGELES, CA 90057
Los Angeles County (213) 413-8742
CINDY VANESSA PUGA MD
Internal Medicine
2100 W 3RD ST STE 220
LOS ANGELES, CA 90057
Los Angeles County (888) 499-9303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Poelman's NPI number?

The NPI number for Thomas Poelman is 1093372591. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Thomas Poelman located?

Thomas Poelman practices at 2100 W 3rd St Ste 220, Los Angeles, CA 90057. The listed phone number is (213) 413-8742.

What is Thomas Poelman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomas Poelman enrolled in Medicare?

Yes. Thomas Poelman is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Poelman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Thomas Poelman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Poelman was last updated on December 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.