Active NPI
Kiley Boss, D.D.S.
- Dentist
- Ogden, UT
National Provider Identifier
1396032041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8020079-8903
- Practice address
- 1508 E Skyline Dr Ste 400
Ogden, UT 84405-4856 - Phone
- (801) 475-6500
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8020079-8903 | UT | Primary |
Addresses
Primary practice location
1508 E Skyline Dr Ste 400
Ogden, UT 84405-4856
Mailing address
1508 E Skyline Dr Ste 400
Ogden, UT 84405-4856
Phone (801) 475-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8020079-8903 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ford & Draper Dental LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- South Ogden, UT
- NPI 1801004874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309478400000",
"number": "1396032041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 E SKYLINE DR STE 400",
"city": "OGDEN",
"state": "UT",
"postal_code": "844054856",
"telephone_number": "801-475-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 E SKYLINE DR STE 400",
"city": "OGDEN",
"state": "UT",
"postal_code": "844054856",
"telephone_number": "801-475-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSS",
"first_name": "KILEY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2011-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "8020079-8903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.