Organization Active NPI

Boskovic & Srbinovska DDS Inc

  • Prosthodontics
  • Tustin, CA
National Provider Identifier
1184776148
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
31210 Issued in CA
Legal business name
BOSKOVIC & SRBINOVSKA DDS INC
Practice address
13372 Newport Ave
Suite G
Tustin, CA 92780-3426
Phone
(714) 832-2672
Fax
(714) 832-1607
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Milos M. Boskovic, DDS
Title
President
Phone
(714) 832-2672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X 31210 CA Primary

Addresses

Primary practice location

13372 Newport Ave
Suite G
Tustin, CA 92780-3426

Mailing address

13372 Newport Ave
Suite G
Tustin, CA 92780-3426
Phone (714) 832-2672

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1184776148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13372 NEWPORT AVE",
            "address_2": "SUITE G",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803426",
            "telephone_number": "714-832-2672",
            "fax_number": "714-832-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13372 NEWPORT AVE",
            "address_2": "SUITE G",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803426",
            "telephone_number": "714-832-2672",
            "fax_number": "714-832-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSKOVIC & SRBINOVSKA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "BOSKOVIC",
        "authorized_official_first_name": "MILOS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-832-2672",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "31210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.