NPIMap

Organization Active NPI

Leo H. Boger, DDS, Inc.

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1649486689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
18524 Issued in CA
Legal business name
LEO H. BOGER, DDS, INC.
Practice address
2074 Forest Ave
Suite 3
San Jose, CA 95128-4811
Phone
(408) 286-3229
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leo H. Boger, DDSNPI 1093938243
Title
President
Phone
(408) 286-3229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 18524 CA Primary

Addresses

Primary practice location

2074 Forest Ave
Suite 3
San Jose, CA 95128-4811

Mailing address

2074 Forest Ave
Suite 3
San Jose, CA 95128-4811
Phone (408) 286-3229

National Provider Directory

National Provider Directory

Locations

2074 Forest Ave
Ste 3
San Jose, CA 95128
Phone (408) 286-3229

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649486689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 FOREST AVE",
            "address_2": "SUITE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284811",
            "telephone_number": "408-286-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 FOREST AVE",
            "address_2": "SUITE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284811",
            "telephone_number": "408-286-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO H. BOGER, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGER",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-286-3229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "18524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.