Individual provider Active NPI

Reann Boss, DDS, MHA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kyle, TX
National Provider Identifier
1013244987
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
24578 Issued in TX
Practice address
844 Kohlers Xing Ste 220
Kyle, TX 78640-2475
Phone
(512) 549-4405
NPI assigned
Nov 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0024578 TX
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 24578 TX Primary

Addresses

Primary practice location

844 Kohlers Xing Ste 220
Kyle, TX 78640-2475

Mailing address

844 Kohlers Xing Ste 220
Kyle, TX 78640-2475

Other practice location 1

15801 W Hwy 71 Ste 600
Bee Cave, TX 78738-2709
Phone (512) 640-4289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0024578TXMDDentist
24578TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Boss Ortho Kyle PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Aug 8, 2021 Accepting new patients
Boss Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics PastSince Apr 19, 2020 Accepting new patients

Locations

844 Kohlers Xing
Ste 220
Kyle, TX 78640
Phone (512) 549-4405

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": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1013244987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 KOHLERS XING STE 220",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 KOHLERS XING STE 220",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402475",
            "telephone_number": "512-549-4405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15801 W Hwy 71 Ste 600",
            "address_purpose": "LOCATION",
            "city": "Bee Cave",
            "state": "TX",
            "postal_code": "787382709",
            "country_code": "US",
            "telephone_number": "512-640-4289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSS",
        "first_name": "REANN",
        "name_prefix": "Dr.",
        "credential": "DDS, MHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0024578",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "24578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.