Organization Active NPI

Lee R. Boese, D.D.S., M.S.D., Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Merced, CA
National Provider Identifier
1285795070
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
LEE R. BOESE, D.D.S., M.S.D., INC.
Practice address
177 W El Portal Dr
Merced, CA 95348-2833
Phone
(209) 723-3776
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lee R. Boese, D.D.S., M.S.D.NPI 1205117314
Title
Owner
Phone
(209) 723-3776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

177 W El Portal Dr
Merced, CA 95348-2833

Mailing address

177 W El Portal Dr
Merced, CA 95348-2833
Phone (209) 723-3776

National Provider Directory

National Provider Directory

Locations

177 W El Portal Dr
Merced, CA 95348
Phone (209) 383-9222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285795070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 W EL PORTAL DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482833",
            "telephone_number": "209-723-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W EL PORTAL DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482833",
            "telephone_number": "209-723-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE R. BOESE, D.D.S., M.S.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOESE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-723-3776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.