Individual provider Active NPI

Michael D Borovac, DDS

  • General Practice Dentistry
  • Palm Desert, CA
National Provider Identifier
1972760650
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35227 Issued in CA
Practice address
73929 Larrea St
Suite 3
Palm Desert, CA 92260-4305
Phone
(760) 773-1177
Fax
(760) 773-0934
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35227 CA Primary

Addresses

Primary practice location

73929 Larrea St
Suite 3
Palm Desert, CA 92260-4305

Mailing address

73929 Larrea St
Suite 3
Palm Desert, CA 92260-4305
Phone (760) 773-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horspool DMD a Dental Corporation PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1972760650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73929 LARREA ST",
            "address_2": "SUITE 3",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604305",
            "telephone_number": "760-773-1177",
            "fax_number": "760-773-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73929 LARREA ST",
            "address_2": "SUITE 3",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604305",
            "telephone_number": "760-773-1177",
            "fax_number": "760-773-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROVAC",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.