Brian Daniel Boston, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

8023444-9921 Issued in UT

Practice address

10320 75TH St Ste a
Kenosha, WI 53142-7525

Phone

(262) 286-2343

Fax

(262) 286-2344

NPI assigned

Jun 20, 2011

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

Enrolled in WI

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.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Daniel a. Boston DDS, PC

  • Dentist
  • Logan, UT
  • NPI 1851500888
  NPD (past)

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1427343359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 75TH ST STE A",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427525",
            "telephone_number": "262-286-2343",
            "fax_number": "262-286-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 75TH ST STE A",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427525",
            "telephone_number": "262-286-2343",
            "fax_number": "262-286-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "BRIAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "8023444-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Bollmeier, PHYSICIAN ASSISTANT
• Hope Borland, NP
• Louise A Borst, RPH CGP
• Brienna Marie Bostanche, DPM
• John L Bostanche, D.P.M.
• Rommel Ortiz Bote', M.D.
• Ami Bouterse
• Robert Bruce Bower, OD
• Katie Lynn Bowers, ATC, LAT, CSCS
• Stephany Rau Brackett, CISW

• Dentist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.