BAYSHORE DENTAL GROUP – NPI #1538601117
Durable Medical Equipment & Medical Supplies

BAYSHORE DENTAL GROUP is a DME supplier located in NEWPORT BEACH, CA. NPPES has assigned the NPI number 1538601117 to BAYSHORE DENTAL GROUP on November 14, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BAYSHORE DENTAL GROUP” is a dba name, the actual legal business name for this organization is SUSAN A BOLLINGER DDS. The primary taxonomy selected by this provider is 332BC3200X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAYSHORE DENTAL GROUP below.

NPI Profile for
SUSAN A BOLLINGER DDS

NPI Number
1538601117
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUSAN A BOLLINGER DDS
Doing Business As (dba): BAYSHORE DENTAL GROUP
Primary location
1401 AVOCADO AVE STE 309
NEWPORT BEACH, CA 92660-8733
Phone: (949) 759-7007 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NANCY KENNON
OFFICE MANAGER
Phone: (949) 759-7007
Updated
Identifiers

Identifiers for BAYSHORE DENTAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPTANCA7560010001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332BC3200X
- Durable Medical Equipment & Medical Supplies / Customized Equipment (Primary)		 CA 26589

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.