BOSWORTH, INC A DENTAL CORPORATION (NPI# 1285786616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285786616 |
| Entity Type | Organization |
| Organization Name | BOSWORTH, INC A DENTAL CORPORATION |
| Practice Address |
7675 Dagget St #160 San Diego CA 92111-2200 |
| Practice Telephone | 8582924566 |
| Practice Fax Number | 8582925217 |
| Mailing Telephone | 8582924566 |
| Mailing Fax Number | 8582925217 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | DR. ROBERT L BOSWORTH (OWNER/DENTIST) |
| Authorized Official Telephone | 8582924566 |
| Authorized Official Credential | DDS,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
55147 | CA | Dental Providers |
| Street Address |
7675 DAGGET ST #160 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326247040 | Robert R Goehl | Dentist | 7675 Dagget St, 160, San Diego, CA 92111-2200 | 2007-07-12 |
| 1619176336 | Richard W Lindsay | Dentist | 7675 Dagget St, 160, San Diego, CA 92111-2200 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902154057 | Lynne Ann March | Dentist | 4685 Vista St, San Diego, CA 92116-4848 | 2012-08-21 |
| 1679733240 | Adam Jeffrey Geach | Dentist | 11777 Bernardo Plaza Ct Ste 102, San Diego, CA 92128-2450 | 2008-06-16 |
| 1164611455 | Nathan James Hornsby | Dentist | 940 B St, San Diego, CA 92101-4609 | 2007-10-23 |
| 1942340104 | Miguel Agustin Grillo | Dentist | 12264 El Camino Real Ste 306, San Diego, CA 92130-3062 | 2007-02-07 |
| 1215076534 | Raymond E. Carpenter | Dentist | 16766 Bernardo Center Dr Ste 212, San Diego, CA 92128-2557 | 2007-02-05 |
| 1891831517 | Tony G Chammas | Dentist | 7910 Frost St Ste 160, San Diego, CA 92123-2771 | 2007-01-29 |
| 1013075324 | Dun G Thi Phuong Nguyen | Dentist | 3426 University Ave, San Diego, CA 92104-2201 | 2006-12-05 |
| 1679656789 | Fred W Kamansky | Dentist | 6529 Mission Gorge Road, San Diego, CA 92120-2376 | 2006-10-23 |
| 1447342571 | Edward John Givens Jr. | Dentist | 2276 Fenton Pkwy, #216, San Diego, CA 92108-4750 | 2006-09-28 |
| 1598868465 | Pamela Angel Macpherson | Dentist | 4033 3rd Avenue, Suite 300, San Diego, CA 92103 | 2006-09-06 |
| 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.