Boyan Todorov, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63965 Issued in CA

Practice address

9349 Foothill Blvd Ste B
Rancho Cucamonga, CA 91730-3567

Phone

(909) 980-6363

NPI assigned

Aug 25, 2014

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1891195053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S GLENDORA AVE UNIT 2513",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9349 FOOTHILL BLVD STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303567",
            "telephone_number": "909-980-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODOROV",
        "first_name": "BOYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-25",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Tiese Tittle
• Gurpreet Kaur Tiwana, NP
• Rhea Tiwari
• Simran Tiwari
• Judith Tod
• Itzel Tolentino
• Adeline Tom, DDS
• Karisa Tomkinson, OTR/L
• Christopher Tong
• Connie Chia-Ying Tong, M.S.

• General Practice Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.