NPIMap

Organization Active NPI

Boswell Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Abingdon, VA
National Provider Identifier
1003087479
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
004377 Issued in VA
Legal business name
BOSWELL ORTHODONTICS
Practice address
110 Deadmore St NE
Abingdon, VA 24210-3406
Phone
(276) 628-1327
Fax
(276) 628-3936
NPI assigned
Mar 13, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Cramer L. Boswell, D.D.S., P.C.NPI 1831153519
Title
Dr.
Phone
(276) 628-1327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 004377 VA Primary

Addresses

Primary practice location

110 Deadmore St NE
Abingdon, VA 24210-3406

Mailing address

110 Deadmore St NE
P.O. Box 1343
Abingdon, VA 24210-3406
Phone (276) 628-1327

Other identifiers 1

IdentifierTypeStateIssuer
007900244MedicaidVA

National Provider Directory

National Provider Directory

Locations

110 Deadmore St NE
Abingdon, VA 24210
Phone (276) 628-1327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1003087479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DEADMORE ST NE",
            "address_2": "P.O. BOX 1343",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103406",
            "telephone_number": "276-628-1327",
            "fax_number": "276-628-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DEADMORE ST NE",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103406",
            "telephone_number": "276-628-1327",
            "fax_number": "276-628-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSWELL ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "CRAMER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "276-628-1327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.C."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "004377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007900244",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.