JONATHAN BOLESTA (NPI# 1164616405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164616405 |
| Entity Type | Individual |
| Full Name | JONATHAN BOLESTA |
| Credential | DMD |
| Practice Address |
5940 W Union Hills Dr B190 Glendale AZ 85308-1308 |
| Practice Telephone | 6234555717 |
| Mailing Telephone | 6234555717 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2011-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7387 | AZ | Dental Providers |
| Street Address |
5940 W UNION HILLS DR B190 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073678553 | Jason Daniel Vargas | Pediatrics | 5940 W Union Hills Dr, Suite D-100, Glendale, AZ 85308-1308 | 2006-12-26 |
| 1871036426 | Ellsworthbeckham Pllc | Dentist | 5940 W Union Hills Dr, Ste F110, Glendale, AZ 85308-1308 | 2016-11-30 |
| 1285180737 | Satisfied for Life, LLC | Dietitian, Registered | 5940 W Union Hills Dr, Suite D-200, Glendale, AZ 85308-1308 | 2016-08-25 |
| 1184178147 | Empowermenttreatment & Counseling Center for Wellness | Clinic/Center | 5940 W Union Hills Dr, D-200, Glendale, AZ 85308-1308 | 2016-08-08 |
| 1477969491 | On Call Dental LLC | Dentist | 5940 W Union Hills Dr, Suite F-110, Glendale, AZ 85308-1308 | 2014-07-10 |
| 1679839435 | Cindy Elms | Dietitian, Registered | 5940 W Union Hills Dr, Suite D-200, Glendale, AZ 85308-1308 | 2012-04-05 |
| 1518237114 | Smiles of America-arrowhead Pllc | Dentist | 5940 W Union Hills Dr, Suite F-110, Glendale, AZ 85308-1308 | 2012-01-12 |
| 1861762858 | Jill Elizabeth Kismet | Acupuncturist | 5940 W Union Hills Dr, Suite D-250, Glendale, AZ 85308-1308 | 2012-01-06 |
| 1689973679 | Shine Az LLC | Clinic/Center | 5940 W Union Hills Dr, B 190, Glendale, AZ 85308-1308 | 2011-03-16 |
| 1811217029 | Danelle Ladawn Vogel | Massage Therapist | 5940 W Union Hills Dr, Suite A-140, Glendale, AZ 85308-1308 | 2010-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| 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 |
|---|---|---|---|---|
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1134691629 | Hunter Orthodontics Pllc | Dentist | 6525 W Sack Dr Ste 101, Glendale, AZ 85308-7106 | 2018-12-20 |
| 1578038121 | Sun Orthodontics, LLC | Dentist | 4901 W Bell Rd Ste 120, Glendale, AZ 85308-3465 | 2018-10-10 |
| 1407200694 | Tina Keun Nan Park | Dentist | 962 Calle Amable, Glendale, CA 91208-3062 | 2016-04-14 |
| 1609246792 | Ninette Hacopian | Dentist | 1122 Linden Ave, Apt 2, Glendale, CA 91201-1550 | 2015-10-01 |
| 1588082754 | Vina Zinn Saperstein | Dentist | 5750 W Thunderbird Rd Ste H800, Glendale, AZ 85306-4675 | 2014-04-03 |
| 1699019240 | The Orthodontic Studio | Dentist | 3600 N Verdugo Rd Ste 200, Glendale, CA 91208-1258 | 2012-11-20 |
| 1356580963 | Melissa Kim Lee | Dentist | 345 N Kenwood St Apt 206, Glendale, CA 91206-5406 | 2009-02-05 |
| 1992976484 | Armne Kartalian | Dentist | 666 W Lexington Dr, Glendale, CA 91203-1662 | 2008-03-12 |
| 1447442546 | Aurelia Bedard | Dentist | 18555 N 79th Ave Ste A102, Glendale, AZ 85308-8371 | 2007-08-13 |
| Find all providers in GLENDALE | ||||
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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.