Active NPI
Boryana S Stoyanova, DMD
- Endodontics
- Jenkintown, PA
National Provider Identifier
1275845240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS038370
- Practice address
- 1077 Rydal Road
Suite 102
Jenkintown, PA 19046 - Phone
- (267) 626-2581
- Fax
- (267) 392-6105
- NPI assigned
- Jul 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endodontics | 1223E0200X | DS038370 | PA | Primary |
Addresses
Primary practice location
1077 Rydal Road
Suite 102
Jenkintown, PA 19046
Mailing address
1077 Rydal Road
Suite 102
Jenkintown, PA 19046
Phone (267) 626-2581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS038370 | PA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1275845240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 RYDAL ROAD",
"address_2": "SUITE 102",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "19046",
"telephone_number": "267-626-2581",
"fax_number": "267-392-6105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 RYDAL ROAD",
"address_2": "SUITE 102",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "19046",
"telephone_number": "267-626-2581",
"fax_number": "267-392-6105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOYANOVA",
"first_name": "BORYANA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-07",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS038370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.