Bosque Smiles Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BOSQUE SMILES DENTISTRY, LLC

Practice address

5600 Coors Blvd NW Ste G4
Albuquerque, NM 87120-1877

Phone

(505) 431-9740

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Jae Yang

Title

Owner

Phone

(714) 845-8500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katelyn Marie Kreh

  • Public Health Dentistry
  • Albuquerque, NM
  • NPI 1730717869
  NPD
• William Don Nguyen

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1124712849
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1013550094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 COORS BLVD NW STE G4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201877",
            "telephone_number": "505-431-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSQUE SMILES DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-845-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Musab Bosh, MD
• Bosque Behavior Consulting LLC
• Bosque Birth & Breastfeeding LLC
• Bosque Internal Medicine LLC
• Bosque Mental Health Associates, Inc.
• Bosque Trails Assisted Living LLC
• Bosque Trails Hospice LLC
• Bosque Womens Care PC
• Bosque801
• Mateo G Bosquez, MD

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.