Kyriaki Bouraki

Primary specialty

DentistTaxonomy code 122300000X

License

107301 Issued in CA

Practice address

4900 California Ave Ste 100B
Bakersfield, CA 93309-7027

Phone

(866) 707-6664

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1922699008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 COLUMBUS ST APT 9",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933062172",
            "telephone_number": "424-385-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE STE 100B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097027",
            "telephone_number": "866-707-6664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 16th St",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612657000",
            "country_code": "US",
            "telephone_number": "309-797-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURAKI",
        "first_name": "KYRIAKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107301",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiresten Botros
• Bachar Botrus, MD
• Thomas Bouasy, P.A.
• Kevork A. Bouldoukian, M.D.
• Robin Cam Bounville
• Caitlin Cheyenne Bourbon
• Janine Bourelle, NPF
• Taylor Marie Bourelle
• Yvonne Bovard, NP
• Bowcor Inc

• Dentist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.