Jason Aaron Boch, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

19000 Issued in MA

Practice address

109 Andrew Avenue
Suite 201
Wayland, MA 01778

Phone

(508) 358-0131

Fax

(508) 358-0150

NPI assigned

Jul 4, 2006

Last updated

Jul 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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

• Jason a Boch DMD LLC

  • Dental Clinic/Center
  • Wayland, MA
  • NPI 1750720918
  NPD (past) Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1407886252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MEADOWBROOK CIR",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762641",
            "telephone_number": "978-443-2108",
            "fax_number": "978-443-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ANDREW AVENUE",
            "address_2": "SUITE 201",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "01778",
            "telephone_number": "508-358-0131",
            "fax_number": "508-358-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCH",
        "first_name": "JASON",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "19000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Berry, PT
• Maryanne Catherine Blahut, OTL
• Joan Salge Blake, M.S.,R.D.,L.D.N
• Linda C Blanco, LICSW
• Karen Blumberg
• Ronnie Tarshis Bodkin, NP
• James Booth, LPN
• Kelsey Boyce, MS CF-SLP
• Ellen Boyle, PA-C
• Kathleen Boyle

• Periodontics in Wayland, MA
• Providers in Wayland, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.