Roberta Ann Bostian, RDHAP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

387 Issued in CA

Practice address

17331 Vailetti Dr
Sonoma, CA 95476-3344

Phone

(707) 695-2495

NPI assigned

Jan 26, 2012

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2012.

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1285906925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17331 VAILETTI DR",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954763344",
            "telephone_number": "707-695-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17331 VAILETTI DR",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954763344",
            "telephone_number": "707-695-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIAN",
        "first_name": "ROBERTA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geetal Ada Beugelmans, RN
• Heidi Biersch, LMFT
• Caitlin Blair
• Jennifer Berenice Bolanos
• Heidi Crystal Bonfigli, M.S., M.A. LMFT
• John Gifford Boyce-Smith, MD
• Wendy M Boyer, RN, BSN
• Tyler Tilden Boynton, D.M.D.
• Bradd S. Yoshioka, a Dental Corporation
• E Peabody Bradford, PH.D.

• All providers in Sonoma, CA
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.