Organization Active NPI

Boeskin Dental PLLC

  • Dental Clinic/Center
  • Yuma, AZ
National Provider Identifier
1326786203
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BOESKIN DENTAL PLLC
Practice address
240 E 24TH St
Yuma, AZ 85364-8547
Phone
(928) 782-4369
NPI assigned
May 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2022

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

Authorized official

Name
Jason Boeskin, DMDNPI 1619498037
Title
Dentist
Phone
(928) 782-4369

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

240 E 24TH St
Yuma, AZ 85364-8547

Mailing address

240 E 24TH St
Yuma, AZ 85364-8547

Other names 1

  • DENTAL CO. OF YUMA Doing business as

National Provider Directory

National Provider Directory

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": "1653177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653177600000",
    "number": "1326786203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648547",
            "telephone_number": "928-782-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOESKIN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-22",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A",
        "authorized_official_last_name": "BOESKIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "928-782-4369",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTAL CO. OF YUMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; 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.