Individual provider Active NPI

Bojana Bojovic

  • General Practice Dentistry
  • Battle Creek, MI
National Provider Identifier
1801203351
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901021369 Issued in MI
Practice address
105 Highland Ave
Battle Creek, MI 49015-3264
Phone
(269) 964-3957
NPI assigned
Jul 16, 2014
Last updated
Aug 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901021369 MI Primary

Addresses

Primary practice location

105 Highland Ave
Battle Creek, MI 49015-3264

Mailing address

105 Highland Ave
Battle Creek, MI 49015-3264
Phone (847) 501-1223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160325000102 MI Order and Referring Only - DentistPractitioner - Dentist 1456658038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021369MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Xyz PLLC Current Accepting new patients
Hope Dental PLLC General Practice Current Accepting new patients
BC Dental PLLC General Practice CurrentSince Aug 9, 2020 Accepting new patients
Pro Dental Mi 1 PC General Practice PastSince Sep 23, 2024 Accepting new patients

Locations

105 Highland Ave
Battle Creek, MI 49015
Phone (269) 962-7822

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1801203351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HIGHLAND AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153264",
            "telephone_number": "847-501-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HIGHLAND AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153264",
            "telephone_number": "269-964-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJOVIC",
        "first_name": "BOJANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.