Organization Active NPI

Boss Ortho Kyle PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kyle, TX
National Provider Identifier
1336744820
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BOSS ORTHO KYLE PLLC
Practice address
844 Kohlers Xing Ste 220
Kyle, TX 78640-2475
Phone
(512) 640-4289
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Dr. Reann Marie Boss, DDS, MHANPI 1013244987
Title
Orthodontist
Phone
(512) 640-4289

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

844 Kohlers Xing Ste 220
Kyle, TX 78640-2475

Mailing address

844 Kohlers Xing Ste 220
Kyle, TX 78640-2475
Phone (512) 640-4289

Other names 1

  • Boss Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

844 Kohlers Xing
Ste 220
Kyle, TX 78640
Phone (512) 549-4405

Practitioners & affiliated clinicians

Practitioners 2

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": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1336744820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 KOHLERS XING STE 220",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402475",
            "telephone_number": "512-640-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 KOHLERS XING STE 220",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402475",
            "telephone_number": "512-640-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS ORTHO KYLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "BOSS",
        "authorized_official_first_name": "REANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "512-640-4289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MHA"
    },
    "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": [
        {
            "organization_name": "Boss Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

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