NPIMap

Organization Active NPI

Bosworth, Inc a Dental Corporation

  • Prosthodontics
  • San Diego, CA
National Provider Identifier
1285786616
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
55147 Issued in CA
Legal business name
BOSWORTH, INC A DENTAL CORPORATION
Practice address
7675 Dagget St
#160
San Diego, CA 92111-2200
Phone
(858) 292-4566
Fax
(858) 292-5217
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Dr. Robert L Bosworth, DDS,MS
Title
Owner/Dentist
Phone
(858) 292-4566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X 55147 CA Primary

Addresses

Primary practice location

7675 Dagget St
#160
San Diego, CA 92111-2200

Mailing address

7675 Dagget St
#160
San Diego, CA 92111-2200
Phone (858) 292-4566

National Provider Directory

National Provider Directory

Locations

7675 Dagget St
Ste 160
San Diego, CA 92111
Phone (858) 292-4566

Practitioners & affiliated clinicians

Practitioners 2

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1285786616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 DAGGET ST",
            "address_2": "#160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112200",
            "telephone_number": "858-292-4566",
            "fax_number": "858-292-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 DAGGET ST",
            "address_2": "#160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112200",
            "telephone_number": "858-292-4566",
            "fax_number": "858-292-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSWORTH, INC A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "BOSWORTH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "858-292-4566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "55147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.