Troy Dean Bostick, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4341 Issued in LA

Practice address

2507 N 7TH St
West Monroe, LA 71291-5125

Phone

(318) 396-4466

Fax

(318) 396-6998

NPI assigned

Dec 13, 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477614493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915125",
            "telephone_number": "318-396-4466",
            "fax_number": "318-396-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915125",
            "telephone_number": "318-396-4466",
            "fax_number": "318-396-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTICK",
        "first_name": "TROY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1843415",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Bolton Lemoine, LOTR
• Brittany A Bonin, PLADC
• Daniel Bonnette
• Blaine McDermott Borders, M.D.
• Anna Barham Borgognoni, PA
• Brooke Julia Bourgeois
• Crystal Boyd, LPC-S
• Valerie Boyd
• Sarah Boyett, PT
• Scott T Boyette, M.D.

• General Practice Dentistry in West Monroe, LA
• Providers in West Monroe, LA by specialty
• General Practice Dentistry in Louisiana

• 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.
• 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.