NPIMap

Organization Active NPI

David R. Boschken, D.M.D. Inc

Doing business as Los Altos Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Altos, CA
National Provider Identifier
1801013693
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
48088 Issued in CA
Legal business name
DAVID R. BOSCHKEN, D.M.D. INC
Doing business as
Los Altos Orthodontics
Practice address
826 Altos Oaks Dr Ste 3
Los Altos, CA 94024-5403
Phone
(650) 948-3994
Fax
(650) 948-3961
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Diana Harrington
Title
Financial Coordinator
Phone
(650) 948-3994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 48088 CA Primary

Addresses

Primary practice location

826 Altos Oaks Dr Ste 3
Los Altos, CA 94024-5403

Mailing address

826 Altos Oaks Dr Ste 3
Los Altos, CA 94024-5403
Phone (650) 948-3994

Other names 1

  • Los Altos Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

826 Altos Oaks Dr
Ste 3
Los Altos, CA 94024
Phone (650) 948-3994

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1801013693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 ALTOS OAKS DR STE 3",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245403",
            "telephone_number": "650-948-3994",
            "fax_number": "650-948-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 ALTOS OAKS DR STE 3",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245403",
            "telephone_number": "650-948-3994",
            "fax_number": "650-948-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. BOSCHKEN, D.M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "650-948-3994"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "48088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Altos Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.