Diana Mamaril Boado, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101186 Issued in CA

Practice address

893 Sunset Dr
Hollister, CA 95023

Phone

(831) 636-5391

NPI assigned

Apr 30, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DM Boado Dental Corporation

  • Dental Clinic/Center
  • Marina, CA
  • NPI 1801625884
  NPD Authorized official
• You Smile Dental

  • General Practice Dentistry
  • Hollister, CA
  • NPI 1255773016
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1023506631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 SUNSET DR",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235601",
            "telephone_number": "831-636-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 SUNSET DR",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-636-5391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1686 Los Gatos Way",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "93906",
            "country_code": "US",
            "telephone_number": "408-839-7451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1686 Los Gatos Way",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "93906",
            "country_code": "US",
            "telephone_number": "408-839-7451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOADO",
        "first_name": "DIANA",
        "middle_name": "MAMARIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101186",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Beevers
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• Cassidy Bleich, DC
• Joel Bonsell
• Boutique de Lingerie
• Dylan Boyer
• William H Brandon Jr., D.C.
• Sam Anthony Breger, DC

• General Practice Dentistry in Hollister, CA
• Providers in Hollister, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.