NPIMap

Organization Active NPI

Boss Dental

  • Dentist
  • New York, NY
National Provider Identifier
1275548034
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047068 Issued in NY
Legal business name
BOSS DENTAL
Practice address
52 E Broadway
New York, NY 10002-6868
Phone
(212) 274-8658
Fax
(212) 274-8571
NPI assigned
Jul 30, 2006
Organization subpart
Yes
Parent organization
BOSS DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Angela Lo
Title
Dentist
Phone
(212) 274-8658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 047068 NY Primary

Addresses

Primary practice location

52 E Broadway
New York, NY 10002-6868

Mailing address

52 E Broadway
New York, NY 10002-6868
Phone (212) 274-8658

National Provider Directory

National Provider Directory
Tax ID family
Boss Dental PC6 organizations share this tax ID, including this one
Part of
Boss Dental PC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

52 E Broadway
New York, NY 10002
Phone (212) 274-8658

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1275548034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026868",
            "telephone_number": "212-274-8658",
            "fax_number": "212-274-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026868",
            "telephone_number": "212-274-8658",
            "fax_number": "212-274-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOSS DENTAL",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-274-8658"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.