Paul Wade Bozzo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14465 Issued in TX

Practice address

1 N Main St
Kingwood, TX 77339-3710

Phone

(281) 359-8302

Fax

(281) 360-7708

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By 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

Other names 1

• Paul Wade Bozzo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reagan Smith, DDS, PLLC

  • Dentist
  • Kingwood, TX
  • NPI 1023932191
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447260625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393710",
            "telephone_number": "281-359-8302",
            "fax_number": "281-360-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393710",
            "telephone_number": "281-359-8302",
            "fax_number": "281-360-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZO",
        "first_name": "PAUL",
        "middle_name": "WADE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "BOZZO",
            "middle_name": "WADE",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tomi-Ko Bowers, FNP
• Kimberly Linne Boyd, LPC
• Noel C Boyd, M.D.
• Samantha Jean Boyle, M.A., BCBA
• Miranda Sue Boyte, RN
• Matthew Evan Brackney, D.C.
• Michael Bradley
• Lori Ann Sandstrom Brady, M.A. COUNSELING
• Kush Saumil Brahmbhatt, MD, MPH
• Adrianna Michelle Bramner

• General Practice Dentistry in Kingwood, TX
• Providers in Kingwood, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.