Andrew J Bova, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2018013500 Issued in MO

Practice address

408 S Broadview St
Cape Girardeau, MO 63703-5725

Phone

(573) 339-1196

NPI assigned

Apr 30, 2018

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1356839971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035725",
            "telephone_number": "573-339-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035725",
            "telephone_number": "573-339-1196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 MO-51",
            "address_purpose": "LOCATION",
            "city": "MARBLE HILL",
            "state": "MO",
            "postal_code": "63764",
            "country_code": "US",
            "telephone_number": "573-238-2725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOVA",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018013500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey William Boss, MD
• Kaylee Marie Boston, COTA/L
• Nicholas A Boston, M.D.
• Matthew T Bottoms, PTA
• Jessica Bouquet
• Jimmy Dayland Bowen, M.D.
• Ashley Bowers, RN
• Jason Lynn Bowers, PA-C
• Shari Boxdorfer, PLPC
• Katana M Boyd

• General Practice Dentistry in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.