Daniel Ward Boston

Primary specialty

DentistTaxonomy code 122300000X

License

DS026584L Issued in PA

Practice address

3223 North Broad Street
Temple University Kornberg School of Dentistry
Philadelphia, PA 19140-5007

Phone

(215) 707-2979

Fax

(215) 707-7616

NPI assigned

Feb 10, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Daniel Boston Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1013308279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SAINT DAVIDS RD",
            "city": "ST DAVIDS",
            "state": "PA",
            "postal_code": "190874309",
            "telephone_number": "610-254-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 NORTH BROAD STREET",
            "address_2": "TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405007",
            "telephone_number": "215-707-2979",
            "fax_number": "215-707-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "DANIEL",
        "middle_name": "WARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS026584L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "BOSTON",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristopher Bosse, MD
• John Vincent Bosso, MD
• Heather Bostancic, CRNA
• Boston Brace International Inc.
• Boston Medical Group Pennsylvania, P.C.
• Nasciya A Boston
• Eric Michael Bostwick, AUD
• Ben Boswell, M.D.
• Kyla Boswell
• Satonia Angel Boswell

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.