Organization Active NPI

Bozart Family Dentistry

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1508047440
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7410 Issued in NC
Legal business name
BOZART FAMILY DENTISTRY
Practice address
6132 Carolina Beach Rd Ste 6
Wilmington, NC 28412-2759
Phone
(910) 392-9101
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Albert Bozart, DDS
Title
Owner
Phone
(910) 392-9101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7410 NC Primary

Addresses

Primary practice location

6132 Carolina Beach Rd Ste 6
Wilmington, NC 28412-2759

Mailing address

6132 Carolina Beach Rd Ste 6
Wilmington, NC 28412-2759
Phone (910) 392-9101

National Provider Directory

National Provider Directory

Locations

6132 Carolina Beach Rd
Ste 6
Wilmington, NC 28412
Phone (910) 392-9101

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1508047440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 CAROLINA BEACH RD STE 6",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122759",
            "telephone_number": "910-392-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 CAROLINA BEACH RD STE 6",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122759",
            "telephone_number": "910-392-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZART FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "BOZART",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-392-9101",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.