DR. CHRIS BOSEOVSKI (NPI# 1508940107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508940107 |
| Entity Type | Individual |
| Full Name | DR. CHRIS BOSEOVSKI |
| Credential | DMD |
| Practice Address |
2611 Mabry Dr Sacramento CA 95835-1502 |
| Practice Telephone | 7074942802 |
| Mailing Telephone | 7074942802 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DDS56189 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018864420002 | 05 | |
| PA | GATEWAY | 1181283 | 01 |
| PA | UNITED CONCORDIA | 1589307 | 01 |
| PA | UNISON | 158984 | 01 |
| PA | CIGNA | 215153 | 01 |
| PA | AETNA | 874884 | 01 |
| PA | CIGNA | 174855 | 01 |
| PA | AETNA | 838906 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2611 Mabry Dr, Sacramento, CA 958351502 | 7074942802 |
| Street Address |
2611 MABRY DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95835-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331596 | Pratik K Patel | Pharmacist | 3701 J Street, Sacramento, CA 95835 | 2018-10-05 |
| 1821536863 | Med Rydz Inc. | Non-emergency Medical Transport (VAN) | 2141 Raymar Court, Sacrameno, CA 95835 | 2017-02-10 |
| 1790146819 | Tina Jagpal | Occupational Therapist | 3747 Gresham Lane, Sacramento, CA 95835 | 2016-03-16 |
| 1669857827 | Sheree Turner | Non-emergency Medical Transport (VAN) | 4910 Westlake Pkwy, Sacramento, CA 95835 | 2015-07-29 |
| 1528461779 | Diane Davina | Nurse Practitioner | 3810 Rosin Ct Suite 100, Peachtree Healthcare, Sacramento, CA 95835 | 2014-10-02 |
| 1669881488 | Sheik Ellias I | Pharmacist | 1861 Acari Ave, Sacramento, CA 95835 | 2014-08-06 |
| 1801153838 | Quin Loren Mcpherron | Military Health Care Provider | 3 Hyannis Port Place, Sacramento, CA 95835 | 2012-04-16 |
| 1639327976 | Gabriele Dorthea Toremann | Counselor | 5444 Elderdown Way, Sacramento, CA 95835 | 2008-08-28 |
| 1295905982 | Xin Li | Physical Therapist | 2644 Macon Way, Sacramento, CA 95835 | 2008-03-10 |
| 1447371059 | Judith M Boyd | Marriage & Family Therapist | 5148 Fredericksburg Wy, Sacramento, CA 95835 | 2007-04-02 |
| Find all providers in zip 95835 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180178 | Shraddha Swain | Dentist | 1164 National Dr Ste 40, Sacramento, CA 95834-1925 | 2020-09-28 |
| 1447867197 | Yasmine Taylor Puentes | Dentist | 1428 U St, Sacramento, CA 95818-1489 | 2020-09-27 |
| 1396375812 | Euridise Munoz De Anda | Dentist | 3311 Watt Ave Ste A, Sacramento, CA 95821-3617 | 2020-01-23 |
| 1114577343 | Ahmad Mokbil Dds Inc | Dentist | 992 Florin Rd, Sacramento, CA 95831-3515 | 2019-09-19 |
| 1538722798 | Yun Hwan Oh Dental Corporation | Dentist | 3521 Arden Way Ste 101, Sacramento, CA 95864-2911 | 2019-04-15 |
| 1093289621 | Western Dental Services, Inc. | Dentist | 3945 Marysville Blvd Ste 1-2, Sacramento, CA 95838-3762 | 2019-01-16 |
| 1659860690 | S.y.y Jang Dds Corp | Dentist | 3433 Arden Way Ste C, Sacramento, CA 95825-2018 | 2018-05-04 |
| 1992213623 | Lee Lo | Dentist | 719 Roundtree Ct, Sacramento, CA 95831-2678 | 2018-01-16 |
| 1982123279 | Gill Bautista and Lopez Dental Corporation | Dentist | 8204 Delta Shores Cir S Ste 140, Sacramento, CA 95832-9101 | 2017-09-18 |
| 1609391549 | Sooraj Singh | Dentist | 1007 Rio Cidade Way, Sacramento, CA 95831-4467 | 2017-08-11 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95835 |
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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.