Bruce Bosler, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30327 Issued in CA

Practice address

301 Alamo Dr Ste 2a
Vacaville, CA 95688-4246

Phone

(707) 449-3661

Fax

(707) 449-3666

NPI assigned

Jul 11, 2007

Last updated

Jul 11, 2007By the provider in NPPES

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 CA

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

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1023216058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ALAMO DR STE 2A",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884246",
            "telephone_number": "707-449-3661",
            "fax_number": "707-449-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ALAMO DR STE 2A",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884246",
            "telephone_number": "707-449-3661",
            "fax_number": "707-449-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSLER",
        "first_name": "BRUCE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marnel Malonzo Bondoc, D.O.
• Giovanni Dyre Bonner, IDMT
• Maly Boonsalat, RBT
• Grace Borchik, DPT
• Richelle Bornales
• Kelsey Bostick
• Hilary Boswell, RBT
• Taylor Faye Bothe-Yates
• Alexandra Grace Boucher
• Dorann Lee Boulian, PH.D.

• General Practice Dentistry in Vacaville, CA
• Providers in Vacaville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.