Avineet Boparai

Primary specialty

DentistTaxonomy code 122300000X

License

DDS102983 Issued in CA

Practice address

4515 Fermi PL Ste 106
Davis, CA 95618

Phone

(714) 618-4313

NPI assigned

Jul 13, 2015

Last updated

Aug 23, 2018By the provider in NPPES

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

Enrolled in MA

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Springfield Family Dental

  • General Practice Dentistry
  • Springfield, MA
  • NPI 1942443932
  NPD (past)
• Springfield Family Dental PC

  • Dental Clinic/Center
  • Springfield, MA
  • NPI 1851016752
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1952785644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 FERMI PL STE 106",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956189411",
            "telephone_number": "714-618-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 FERMI PL STE 106",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95618",
            "telephone_number": "714-618-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Boston Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011191311",
            "country_code": "US",
            "telephone_number": "413-796-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOPARAI",
        "first_name": "AVINEET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS102983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Bohorquez Jr.
• Lauren Bolnik
• Natalie Marie Bondurant
• Vanessa Bonnar
• Phillip Kent Boone
• Kristina Borchin
• Breana K Borell
• Carmel Borgonia
• Laura Bork, RN
• Tyler Bouchard

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.