DR. BERNARD JAMES BOBACK III DMD MS
NPI 1154844702
Dentist - Orthodontics and Dentofacial Orthopedics in Murrieta, CA

Active since July 25, 2017PECOS Enrolled
40307 MIKLICH DR, MURRIETA, CA 92563(570) 362-3771 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2023, Jul 21, 2022, Aug 14, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Bernard James Boback Iii Dmd Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BERNARD JAMES BOBACK III DMD MS (NPI 1154844702) is an individual orthodontics and dentofacial orthopedics provider in Murrieta, California, licensed in California (DDS101535) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1154844702
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. BERNARD JAMES BOBACK IIICredential: DMD MS
Location Address40307 MIKLICH DRMurrieta, CA 92563-4352
Mailing Address2828 Weeping Willow RdChula Vista, CA 91915-1681 · (570) 362-3771
Sole ProprietorNo
Enumeration DateJuly 25, 2017
Last NPPES UpdateJanuary 11, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
NPI 1154844702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in CA · DDS101535 Licensed in TX · 34613
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
40307 MIKLICH DR, Murrieta, CA 92563

Secondary Practice Location 1

Location 110974 1/4 Roebling AveLos Angeles, CA 90024-2723 · Phone (570) 362-3771

Other Identifiers 1

MedicaidDDS101535CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bernard James Boback Iii Dmd Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92563 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernard Boback's NPI number?

The NPI number for Bernard Boback is 1154844702. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Where is Bernard Boback located?

Bernard Boback practices at 40307 Miklich Dr, Murrieta, CA 92563. The listed phone number is (570) 362-3771.

What is Bernard Boback's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Bernard Boback enrolled in Medicare?

Yes. Bernard Boback is registered in the Medicare PECOS enrollment system.

What insurance does Bernard Boback accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Bernard Boback as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bernard Boback was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.