Bosack Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BOSACK DENTAL LLC

Practice address

16045 108TH Ave Ste a
Orland Park, IL 60467-5345

Phone

(708) 403-0005

NPI assigned

Apr 17, 2018

Last updated

Dec 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca BosackNPI 1194953265

Title

Dentist/Sole Member

Phone

(708) 403-0005

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Bosack, D.D.S.

  • General Practice Dentistry
  • Orland Park, IL
  • NPI 1194953265
  NPD Authorized official
• Kyle Adkins, DMD

  • General Practice Dentistry
  • Orland Park, IL
  • NPI 1285319012
  NPD
• Joseph Powers, DMD

  • Dentist
  • Chicago, IL
  • NPI 1679066195
  NPD (past)

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1609363589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16045 108TH AVE STE A",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16045 108TH AVE STE A",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675345",
            "telephone_number": "708-403-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSACK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "BOSACK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DENTIST/SOLE MEMBER",
        "authorized_official_telephone_number": "708-403-0005"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Boktor, DPT
• Arnold Garcia Bolisay, MD
• Peter Bonaminio I, BS RPH
• Nancy L Bonnevier, LCPC
• Bridget Borrelli, BCBA
• Linda Brigit Bosack, AUD
• Rebecca Bosack, D.D.S.
• Robert C. Bosack, DDS
• Cheryl Ann Boss, ANP-CNP
• Botti Sports & Spine

• Dental Clinic/Center in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.