Boryana Dimitrova, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS040884 Issued in PA

Practice address

2010 S Juniper St
Philadelphia, PA 19148-5509

Phone

(215) 334-3490

NPI assigned

Jun 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466294400000",
    "number": "1801246038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 NAUDAIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461522",
            "telephone_number": "857-919-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S JUNIPER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191485509",
            "telephone_number": "215-334-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITROVA",
        "first_name": "BORYANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-19",
        "last_updated": "2016-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Dimercurio, LCSW
• Gioia Dimicco, LPC, ATR-BC
• Christina Dimichele, PT, DPT
• Steven G Dimitriou, DO
• Vasil Dimitrov Dimitrov, PT
• Taylor Dimmerling, MS, RD, LDN
• Blerta Dimo, MD
• Andrea Dimond, M.D.
• Michael J Dimuzio
• Paul J. Dimuzio, M.D.

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2016; 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.