Dr Chris Boseovski DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035206 Issued in PA

Legal business name

DR CHRIS BOSEOVSKI DMD LLC

Practice address

1349 W Market St
Pottsville, PA 17901-2282

Phone

(570) 622-0386

Fax

(570) 622-0484

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Megan Conville, BACH IN PSYCH

Title

Manager

Phone

(570) 622-0386

Specialties & licenses 1

Addresses

Other identifiers 8

Practitioners 2

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.

• Luiza O Widawska, DMD

  • General Practice Dentistry
  • Pottsville, PA
  • NPI 1679658629
  NPD (past)
• Chris Boseovski, MD

  • General Practice Physician
  • Auburn, CA
  • NPI 1508940107
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043395981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO 1019",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-622-0386",
            "fax_number": "570-622-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 W MARKET ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012282",
            "telephone_number": "570-622-0386",
            "fax_number": "570-622-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHRIS BOSEOVSKI DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONVILLE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "570-622-0386",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BACH IN PSYCH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "174855",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1589307",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "871884",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018864420002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1181283",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "158984",
            "state": "PW"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "215153",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "838906",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Direnzo
• Rachel Tice Dolbin, D.C.
• Michelle Marie Dolinsky, PTA
• Darrin Eric Doran, D.O.
• Danielle S. Doyle, CRNP
• Dr. Jack Dolbin D.C, P.C
• Amber Dros
• DRS Sandra M Krokos & Thomas P Kislan PC (Pottsville Eye Specialists)
• Carolyn Dunkelberger
• Robert L Dusel, PT

• General Practice Dentistry in Pottsville, PA
• Providers in Pottsville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.