Raoul Carr Vandenbosche, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4228 Issued in MD

Practice address

10 West Broadway
Bel Air, MD 21014-3555

Phone

(410) 879-7333

NPI assigned

May 18, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649488081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WEST BROADWAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143555",
            "telephone_number": "410-879-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEST BROADWAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143555",
            "telephone_number": "410-879-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBOSCHE",
        "first_name": "RAOUL",
        "middle_name": "CARR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "4228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BCBS",
            "identifier": "6405",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "422171",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "670941",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• V. S. Nair MD PA
• Aaron James Vafakos, D.M.D.
• Katrina Vain
• Katie Kerns Valentine, COTA
• Paul Sean Van Zijl, M.D.
• Erin E Vanluven, LCSW-C
• Bonnie Langton Vanmetre, BCBA
• Briana Vanreenen, DPT
• Vascular Surgery Associates, L.L.C.
• Dean L Vassar, M.D.

• General Practice Dentistry in Bel Air, MD
• Providers in Bel Air, MD by specialty
• General Practice Dentistry in Maryland

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.