Active NPI
Brandon David Boike, DDS
- Pediatric Dentistry
- Traverse City, MI
National Provider Identifier
1073878070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2901020630
- Practice address
- 1241 E 8TH St
Traverse City, MI 49686-2955 - Phone
- (231) 947-4566
- NPI assigned
- Jul 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2901020630 | MI | Primary |
Addresses
Primary practice location
1241 E 8TH St
Traverse City, MI 49686-2955
Mailing address
4983 Shaker Heights CT Apt 202
Naples, FL 34112-8424
Phone (810) 845-6758
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020630 | MI | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1073878070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4983 SHAKER HEIGHTS CT APT 202",
"city": "NAPLES",
"state": "FL",
"postal_code": "341128424",
"telephone_number": "810-845-6758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 E 8TH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496862955",
"telephone_number": "231-947-4566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOIKE",
"first_name": "BRANDON",
"middle_name": "DAVID",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-06",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MI",
"license": "2901020630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.