William Bryan Boak, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS025414L Issued in PA

Practice address

1910 E Carson St
Pittsburgh, PA 15203-1880

Phone

(412) 381-3373

Fax

(412) 381-2829

NPI assigned

Mar 23, 2007

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 PA

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 and National Provider Directory roles.

• Five Star Dentistry

  • General Practice Dentistry
  • Pittsburgh, PA
  • NPI 1356004212
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1205953502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031880",
            "telephone_number": "412-381-3373",
            "fax_number": "412-381-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031880",
            "telephone_number": "412-381-3373",
            "fax_number": "412-381-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAK",
        "first_name": "WILLIAM",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025414L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Lonnie Blumer, MD
• Amber Renee Blumling, DNP, FNP-C
• Madison Blunkosky
• Jennifer Sue Blyler
• Amanda Lee Blystone
• Samuel Boardman
• Jessica Boateng
• Peter Kofi Boateng, DO
• Julius Antonio Boatwright, LCSW
• Ashley Bobak

• General Practice Dentistry in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.