DR. DIANA BOZNER (NPI# 1114499589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114499589 |
| Entity Type | Individual |
| Full Name | DR. DIANA BOZNER |
| Credential | DDS |
| Practice Address |
3455 Government St Baton Rouge LA 70806-5717 |
| Practice Telephone | 2258317834 |
| Mailing Telephone | 2255905514 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6643 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972865012 | Diana Crystle Bozner | Case Manager/Care Coordinator | 2300 Foothill Blvd, Rock Springs, WY 82901-5610 | 2012-06-14 |
| Street Address |
3455 GOVERNMENT ST |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-5717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992037758 | David M Vieth Dds, A Professional Corporation | Dentist | 3455 Government St, Baton Rouge, LA 70806-5717 | 2010-02-04 |
| 1598317216 | Moussa H Ayoub | Dentist | 3455 Government St, Baton Rouge, LA 70806-5717 | 2019-07-12 |
| 1083144315 | Stacey P Owens | Dentist | 3455 Government St, Baton Rouge, LA 70806-5717 | 2017-06-19 |
| 1821528282 | Funmi Abosede | Dentist | 3455 Government St, Baton Rouge, LA 70806-5717 | 2017-06-18 |
| 1396293007 | Skye Angelle Smith | Dentist | 3455 Government St, Baton Rouge, LA 70806-5717 | 2016-09-12 |
| 1255621751 | Jonathan Gold | Dentist | 3455 Government St, Baton Rouge, LA 70806-5717 | 2011-04-18 |
| 1528371978 | Ehidanmegbe Okunwa Akharume | Dentist | 3455 Government St, Baton Rouge, LA 70806 | 2010-07-14 |
| 1598084683 | Dung Vinh Dinh | Dentist | 3455 Government St, Baton Rouge, LA 70806-5717 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| 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 |
|---|---|---|---|---|
| 1396045498 | Orthodontics of Baton Rouge, LLC | Dentist | 8460 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2823 | 2010-10-25 |
| 1588841019 | Sean Adrian Smith | Dentist | 9063 Siegen Ln, Suite C, Baton Rouge, LA 70810-1951 | 2008-01-28 |
| 1689790602 | Keith R. Kyler | Dentist | 11964 Coursey Blvd, Baton Rouge, LA 70816-4405 | 2007-03-21 |
| 1336279520 | Stephen L. Sherman | Dentist | 8311 Bluebonnet Blvd, Baton Rouge, LA 70810-2826 | 2007-03-06 |
| 1255461992 | James F Sieberth | Dentist | 8170 Goodwood Blvd Ste B, Baton Rouge, LA 70806-7736 | 2007-03-06 |
| 1689700031 | Kevin Paul Harris | Dentist | 5015 Bluebonnet Blvd, Baton Rouge, LA 70809-3084 | 2007-02-27 |
| 1891830212 | Andre Maurice Fruge | Dentist | 12061 Bricksome Ave, Baton Rouge, LA 70816-2339 | 2007-02-21 |
| 1114003217 | Rickey Lee Martin | Dentist | 7707 Old Hammond Hwy Ste 4, Baton Rouge, LA 70809-1262 | 2006-10-31 |
| 1407870983 | Joseph R Porter | Dentist | 4451 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9639 | 2006-07-27 |
| 1619929262 | James Sidney Langley | Dentist | 4809 Jones Creek Rd, Baton Rouge, LA 70817-1528 | 2006-05-16 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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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.