Boghawala DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BOGHAWALA DDS INC

Doing business as

Innovative Smiles

Practice address

1042 E Wardlow Rd
Long Beach, CA 90807-4708

Phone

(562) 542-3080

NPI assigned

Mar 7, 2024

Last updated

Mar 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesmine Boghawala, DDSNPI 1235486143

Title

Owner

Phone

(562) 542-3080

Specialties & licenses 1

Addresses

Other names 1

• Innovative Smiles Doing business as

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.

• Jesmine Boghawala, D.D.S, M.P.A, B.D.S

  • Dentist
  • Cerritos, CA
  • NPI 1235486143
  NPD Authorized official

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1568220226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074708",
            "telephone_number": "562-542-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074708",
            "telephone_number": "562-542-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGHAWALA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "BOGHAWALA",
        "authorized_official_first_name": "JESMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-542-3080",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariana Boekes
• Teaubias Harold Boesch, R.N., F.A.
• Thomas Boetto
• Barbara Ann Bogdan Brosler, RN
• Dana Boggio, MFT
• Jeffrey Bognot
• Nassim Bogsara, PSY D
• Lily Amankwah Bogyah, FNP
• Deseree Deann Bohanan, MSW, LCSW
• Lisa Bohinski

• Dental Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dental Clinic/Center in California

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