Michael James Bolten

Primary specialty

DentistTaxonomy code 122300000X

License

21014 Issued in TX

Practice address

6633 Eldorado Pkwy Ste 100
McKinney, TX 75070-6185

Phone

(972) 547-0554

Fax

(972) 547-4865

NPI assigned

Feb 12, 2007

Last updated

Apr 13, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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

• Stonebridge Dental

  • General Practice Dentistry
  • McKinney, TX
  • NPI 1831472810
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1558403279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 ELDORADO PKWY STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706185",
            "telephone_number": "972-547-0554",
            "fax_number": "972-547-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 ELDORADO PKWY STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706185",
            "telephone_number": "972-547-0554",
            "fax_number": "972-547-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTEN",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Onyinye Bolarin
• Kiara D Bolden
• Tammy Bolin, RN
• Catherine Bolotte
• Miranda Dawn Bolson, RBT
• Dawda Kinshasa Bolton, N.P.
• Vanessa Bond
• Alicia Bonds, FNP-C
• Kenyon Yar'Maude Bonds, PTA
• Alessandra Bonilla, M.S, LPC

• Dentist in McKinney, TX
• Providers in McKinney, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.