Michael J Bossolina Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10133 Issued in NC

Practice address

400 S Tryon St Ste M3
Charlotte, NC 28285-0102

Phone

(704) 376-5950

NPI assigned

Jul 20, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bossolina DDS PLLC

  • Dental Clinic/Center
  • Charlotte, NC
  • NPI 1851897854
  NPD Authorized official

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1013205368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S TRYON ST STE M3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282850102",
            "telephone_number": "704-376-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S TRYON ST STE M3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282850102",
            "telephone_number": "704-376-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSOLINA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Boss
• Dylan Michael Bossard, DNP, FNP-C
• Michael Bosse, MD
• Jillian Nunn Bossemeyer, MS, CAS, LPA
• Bossolina DDS PLLC
• Christian Bost
• Kimberly Taylor Bost, PT
• Natalie B Bost, FNP-BC
• William Bost
• Evelyn Alexandra Bostany, LMFTA

• Dentist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.