Michael a. Boggess, MD, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

44489 Issued in TN

Legal business name

MICHAEL A. BOGGESS, MD, PLLC

Practice address

213 Overlook Cir
Suite B-3
Brentwood, TN 37027-3291

Phone

(615) 942-8016

Fax

(615) 739-5376

NPI assigned

Sep 20, 2015

Organization subpart

No

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

Authorized official

Name

Michael Allen Boggess, M.D.

Title

Owner

Phone

(615) 942-8016

Specialties & licenses 1

Addresses

Other names 1

• Youthful Reflections Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1225407232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4072 TRAIL RIDGE DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674057",
            "telephone_number": "615-942-8016",
            "fax_number": "615-739-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 OVERLOOK CIR",
            "address_2": "SUITE B-3",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273291",
            "telephone_number": "615-942-8016",
            "fax_number": "615-739-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. BOGGESS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-20",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "BOGGESS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-942-8016",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "44489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youthful Reflections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard W Meyer, M.D.
• Alexander Mezhiritsky
• John Kaku Miah, MD, MBA
• Micah Management LLC
• Folusho Micah
• Michael R. Politzer, O.D., Co
• Gary Michael, MD
• Sarah Urlacher Micklewright
• Middle Tennessee Dental Sleep Specialists PLLC
• Middle Tennessee Dental Sleep Specialists PLLC

• Clinic/Center in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.