Bianca Toma Boji, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021924 Issued in MI

Practice address

1777 Axtell Dr
Suite 207
Troy, MI 48084-4404

Phone

(248) 649-3116

Fax

(248) 649-6768

NPI assigned

Jul 6, 2016

Last updated

Jul 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MI

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bright Side Dental Troy

  • General Practice Dentistry
  • Troy, MI
  • NPI 1417300765
  NPD (past)

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1134571854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "address_2": "SUITE 207",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404",
            "telephone_number": "248-649-3116",
            "fax_number": "248-649-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "address_2": "SUITE 207",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404",
            "telephone_number": "248-649-3116",
            "fax_number": "248-649-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJI",
        "first_name": "BIANCA",
        "middle_name": "TOMA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Bogle, M.A., C.A.A.C.
• Laurie Anne Bohdan, MS, LTDLLP
• Allison M. Bohne, PA
• Marianne Bohne, CRNA
• Yvette L Boileau, P.A.
• Sante D Bologna, MD
• Savannah Bolotta
• Linda R Bolton, MD
• Kristin Conners Boncore
• Kristina J Bond, FNP

• General Practice Dentistry in Troy, MI
• Providers in Troy, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.