Active NPI
Trinity Elise Boszko, D.M.D.
- Periodontics
- Orlando, FL
National Provider Identifier
1881023315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN20423
- Practice address
- 7319 W Colonial Dr
Orlando, FL 32818-6746 - Phone
- (407) 294-9200
- Fax
- (407) 294-1577
- NPI assigned
- Nov 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN20423 | FL | Primary |
Addresses
Primary practice location
7319 W Colonial Dr
Orlando, FL 32818-6746
Mailing address
1111 E Sunrise Blvd Unit 512
Fort Lauderdale, FL 33304-2871
Phone (314) 221-6832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161024002415 | FL | Order and Referring Only - Other (Physician) | 3072891159 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1881023315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E SUNRISE BLVD UNIT 512",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333042871",
"telephone_number": "314-221-6832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7319 W COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328186746",
"telephone_number": "407-294-9200",
"fax_number": "407-294-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSZKO",
"first_name": "TRINITY",
"middle_name": "ELISE",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-05",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN20423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.