Michael Kobliska DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL KOBLISKA DDS INC

Doing business as

Cayucos Dental

Practice address

176 N Ocean Ave
Cayucos, CA 93430-1602

Phone

(805) 995-3123

NPI assigned

Jun 7, 2022

Last updated

Jun 7, 2022By 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

Dr. Michael Kobliska, DDSNPI 1568626091

Title

President

Phone

(661) 319-8600

Specialties & licenses 1

Addresses

Other names 1

• Cayucos Dental Doing business as

Locations

Practitioners 2

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.

• Michael Kobliska, D.D.S.

  • General Practice Dentistry
  • Los Osos, CA
  • NPI 1568626091
  NPD Authorized official
• Terry Francis Moore, DDS

  • General Practice Dentistry
  • Cayucos, CA
  • NPI 1720158405
  NPD (past)

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1700515590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 N OCEAN AVE",
            "city": "CAYUCOS",
            "state": "CA",
            "postal_code": "934301602",
            "telephone_number": "805-995-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 N OCEAN AVE",
            "city": "CAYUCOS",
            "state": "CA",
            "postal_code": "934301602",
            "telephone_number": "805-995-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL KOBLISKA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "KOBLISKA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-319-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cayucos Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nina Petrosky Decker, LCSW
• Gregory Flores, PHARM.D.
• Geriatric Healthcare Inc
• Ellen Ann Greenman, MD
• Kristin McMaster, LCSW
• Terry Francis Moore, DDS
• Kathleen M. Oliver, LCSW
• Dianna Powers, PT
• Diane Marie Thorp, MSW, ACSW

• Dental Clinic/Center in Cayucos, CA
• Providers in Cayucos, 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 Jun 7, 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.