Joseph Raymond Boldt II, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5234 Issued in CT

Practice address

69 Fairfield Rd
Greenwich, CT 06830-4855

Phone

(203) 869-1774

NPI assigned

Dec 2, 2008

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1275788481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 FAIRFIELD RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304855",
            "telephone_number": "203-869-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 FAIRFIELD RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304855",
            "telephone_number": "203-869-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDT",
        "first_name": "JOSEPH",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "5234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sotonye Bobojama
• Dana L Bogacz, RN
• Mieke Boggs
• Ann Monica Boisvert, NP
• Steven Boksenbaum, PH.D.
• Mary E Bolger, PHD
• Nelson A Bonheim, MD
• James Stephen Borges, MD
• Gregory Bottaro, PSY.D.
• Jillian Bowes, D.C

• Dentist in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.