NPIMap

Organization Active NPI

Irene Bodjanac Bozir, D.D.S., Inc.

  • General Practice Dentistry
  • Escondido, CA
National Provider Identifier
1104262658
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42635 Issued in CA
Legal business name
IRENE BODJANAC BOZIR, D.D.S., INC.
Practice address
230 E 5TH Ave
Escondido, CA 92025-4906
Phone
(760) 738-9595
NPI assigned
May 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Dr. Irene Bozir, D.D.S.NPI 1659522811
Title
President
Phone
(760) 505-1588

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42635 CA Primary

Addresses

Primary practice location

230 E 5TH Ave
Escondido, CA 92025-4906

Mailing address

2924 Capazo CT
Carlsbad, CA 92009-4407
Phone (760) 505-1588

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1104262658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 CAPAZO CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094407",
            "telephone_number": "760-505-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E 5TH AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254906",
            "telephone_number": "760-738-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE BODJANAC BOZIR, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "BOZIR",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-505-1588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.