Dorothy Wojtkowski Boisen, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

9428 Issued in CO

Practice address

600 S Park Ave
Montrose, CO 81401-4324

Phone

(907) 240-4485

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 18, 2016 through Jun 18, 2028

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

Virginia Commonwealth Univ School of Dentistry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montrose Oral and Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Montrose, CO
  • NPI 1578768768

  Oral and Maxillofacial Surgery

  NPD (past)
• Montrose Oral Surgery and Maxillofacial Specialists

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Montrose, CO
  • NPI 1326641739
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1346450111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S PARK AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014324",
            "telephone_number": "907-240-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PARK AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014324",
            "telephone_number": "907-240-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISEN",
        "first_name": "DOROTHY",
        "middle_name": "WOJTKOWSKI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CO",
            "license": "9428",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "9428",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75576023",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lisa Anne Boffa, FNP, PMHNP, ND
• Ruthann Bohler, PNP
• Andrew Bolton, M.D., M.P.H
• William Boniface
• Lois Boomer, OT
• Aliya Boozari, MT
• Marisa A Borchardt, DMD

• Oral & Maxillofacial Surgery (D.M.D.) in Montrose, CO
• Providers in Montrose, CO by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.