Eric Boman, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7506 Issued in NV

Practice address

6615 S Eastern Ave Ste 106
Las Vegas, NV 89119-3926

Phone

(702) 735-3506

NPI assigned

Jul 19, 2021

Last updated

Jul 19, 2021By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gussow Dental Care Prof Corp

  dba Vegas Smiles

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1174398416
  NPD
• Nevada Dental Partners

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1083280044
  NPD

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1467025411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 S DECATUR BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418718",
            "telephone_number": "702-527-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 S EASTERN AVE STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193926",
            "telephone_number": "702-735-3506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10420 S Decatur Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891418718",
            "country_code": "US",
            "telephone_number": "702-527-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOMAN",
        "first_name": "ERIC",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "7506",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eboman10@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6615 S Eastern Ave Ste 106",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891193926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breia Bolton
• Chantell Bolton
• Desean Bolton
• Earlene Bolton
• Jacklynn Bolton
• Keith G Boman, M.D.
• Scott Boman, MD
• Grace P Bomban, RN
• Jim Bombane
• Simounette Bomely

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.