Individual provider Active NPI

Elise Bolski, D.D.S.

  • Dentist
  • Weston, FL
National Provider Identifier
1013050392
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14261 Issued in FL
Practice address
1605 Town Center Cir
Suite B
Weston, FL 33326-3637
Phone
(954) 389-0511
Fax
(954) 389-5323
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14261 FL Primary

Addresses

Primary practice location

1605 Town Center Cir
Suite B
Weston, FL 33326-3637

Mailing address

1605 Town Center Cir
Suite B
Weston, FL 33326-3637
Phone (954) 389-0511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20150622001461 FL Order and Referring Only - DentistPractitioner - Dentist 8224349972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14261FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elise Bolski DDS LLC Dentist Past Accepting new patients
Lee M Friedel, DDS and Elise Bolski, DDS, LLC Dentist Past Accepting new patients

Organizations & group practices 2

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013050392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 TOWN CENTER CIR",
            "address_2": "SUITE B",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263637",
            "telephone_number": "954-389-0511",
            "fax_number": "954-389-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 TOWN CENTER CIR",
            "address_2": "SUITE B",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263637",
            "telephone_number": "954-389-0511",
            "fax_number": "954-389-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLSKI",
        "first_name": "ELISE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "14261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.