Active NPI
Michael a. Boggess, MD, PLLC
Doing business as Youthful Reflections
- Clinic/Center
- Brentwood, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 44489
- Legal business name
- MICHAEL A. BOGGESS, MD, PLLC
- Doing business as
- Youthful Reflections
- 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
- Last updated
- Nov 23, 2015
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 44489 | TN | Primary |
Addresses
Primary practice location
213 Overlook Cir
Suite B-3
Brentwood, TN 37027-3291
Mailing address
4072 Trail Ridge Dr
Franklin, TN 37067-4057
Phone (615) 942-8016
Other names 1
- Youthful Reflections
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2326925 | Michael a Boggess, MD, PLLC | Certificate of waiver | Jul 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
213 Overlook Cir
Ste B3
Brentwood, TN 37027
Phone (615) 942-8016
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Facial Plastic Surgery Physician
- Brentwood, TN
- NPI 1912973249
NPI Registry JSON
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"
}
]
}
Other providers in Brentwood, TN
- Richard W Meyer, M.D.
- Alexander Mezhiritsky
- John Kaku Miah, MD, MBA
- Micah Management LLC (Family Chiropractic and Wellness)
- Folusho Micah
- Michael R. Politzer, O.D., Co
- Gary Michael, MD
- Sarah Urlacher Micklewright
- Middle Tennessee Dental Sleep Specialists PLLC (Middle Tennessee Sleep Apnea and TMJ Treatment Center)
- Middle Tennessee Dental Sleep Specialists PLLC (Kellye N Rice, DMD)
Sources for this page
- 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.