Brian D Boston, DMD, S.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIAN D BOSTON, DMD, S.C

Doing business as

Aspen Dental

Practice address

2860 S Green Bay Rd
Suite 104
Mount Pleasant, WI 53406-4962

Phone

(262) 886-9700

Fax

(262) 554-1629

NPI assigned

Aug 27, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kim Van Camp

Title

Provider Relations Specialist

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

Locations

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1518367598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "866-273-8204",
            "fax_number": "866-803-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S GREEN BAY RD",
            "address_2": "SUITE 104",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064962",
            "telephone_number": "262-886-9700",
            "fax_number": "262-554-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D BOSTON, DMD, S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "VAN CAMP",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SPECIALIST",
        "authorized_official_telephone_number": "315-454-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Loren Braden
• Branko Prpa MD LLC
• David G Braun
• Heather Jennifer Braun
• Michelle Bregenzer, APNP
• Amy Lynn Brieske, RDN
• Lily Brock, PT, DPT
• Lenora M. Brockman, M.D.
• Andrew Bromir, PA-C
• Kelli Brossart, MSW, LCSW

• General Practice Dentistry in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.