NPIMap

Organization Active NPI

Inna Bosh DDS, Inc.

Doing business as New Image Dentistry

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1336437847
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58251 Issued in CA
Legal business name
INNA BOSH DDS, INC.
Doing business as
New Image Dentistry
Practice address
3698 S. Bristol St.
Santa Ana, CA 92704
Phone
(714) 540-8000
Fax
(714) 540-8008
NPI assigned
Jul 18, 2011
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Inna Bosh, DDSNPI 1417179961
Title
Dentist
Phone
(714) 540-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58251 CA Primary

Addresses

Primary practice location

3698 S. Bristol St.
Santa Ana, CA 92704

Mailing address

3698 S. Bristol St
Santa Ana, CA 92704
Phone (714) 540-8000

Other names 1

  • New Image Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3698 S Bristol St
Santa Ana, CA 92704
Phone (714) 540-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1336437847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3698 S. BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-540-8000",
            "fax_number": "714-540-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3698 S. BRISTOL ST.",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-540-8000",
            "fax_number": "714-540-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNA BOSH DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "BOSH",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-540-8000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Image Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.