Organization Active NPI

Sviatoslav Bouz DDS

  • Dental Clinic/Center
  • Ooltewah, TN
National Provider Identifier
1043185648
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SVIATOSLAV BOUZ DDS
Practice address
9493 David Smith LN
Ooltewah, TN 37363-7292
Phone
(909) 855-6942
NPI assigned
Oct 6, 2025
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Dr. Sviatoslav Bouz, DDSNPI 1831676386
Title
Dentist
Phone
(909) 855-6942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9493 David Smith LN
Ooltewah, TN 37363-7292

Mailing address

3535 Windsor Cir NE
Cleveland, TN 37312-5153
Phone (909) 855-6942

National Provider Directory

National Provider Directory

Locations

9493 David Smith Ln
Ooltewah, TN 37363
Phone (909) 855-6942

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1043185648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 WINDSOR CIR NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125153",
            "telephone_number": "909-855-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9493 DAVID SMITH LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637292",
            "telephone_number": "909-855-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVIATOSLAV BOUZ DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "BOUZ",
        "authorized_official_first_name": "SVIATOSLAV",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-855-6942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.