NPIMap

Organization Active NPI

DM Boado Dental Corporation

  • Dental Clinic/Center
  • Marina, CA
National Provider Identifier
1801625884
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DM BOADO DENTAL CORPORATION
Practice address
271 Reservation Rd Ste 102
Marina, CA 93933-3175
Phone
(831) 384-7730
NPI assigned
Jul 29, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Dr. Diana BoadoNPI 1023506631
Title
Dentist/Owner
Phone
(408) 839-7451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

271 Reservation Rd Ste 102
Marina, CA 93933-3175

Mailing address

271 Reservation Rd Ste 102
Marina, CA 93933-3175
Phone (831) 384-7730

National Provider Directory

National Provider Directory

Locations

271 Reservation Rd
Ste 102
Marina, CA 93933
Phone (831) 384-7730

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1801625884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 RESERVATION RD STE 102",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939333175",
            "telephone_number": "831-384-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 RESERVATION RD STE 102",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939333175",
            "telephone_number": "831-384-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DM BOADO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "BOADO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "408-839-7451",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.