Eugenia Osbon

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D012308 Issued in AZ

Practice address

371 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9307

Phone

(928) 855-8333

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Yauheniya Osbon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona Dental Professionals, P.C.

  • General Practice Dentistry
  • Lake Havasu City, AZ
  • NPI 1952628984
  NPD (past)

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1447950654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 LAKE HAVASU AVE S",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039307",
            "telephone_number": "928-855-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 LAKE HAVASU AVE S",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039307",
            "telephone_number": "928-855-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBON",
        "first_name": "EUGENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2023022202",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAUHENIYA",
            "last_name": "OSBON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angelo Ong-Veloso Jr., M.D.
• Open MRI of Lake Havasu LLC
• Ramon R Orduno Jr., CRNA
• Kaitlyn April Ornelas
• William S Orr, D.C.
• Vic S Oyas, M.D.
• Misty Lynn Pagan, NURSE PRACTITIONER
• Elizabeth Rorie Page, PT
• Donna Pakula, LAB DIRECTOR
• Pamela Reband MD PC

• General Practice Dentistry in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.