Richard Mark Boles, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS024036-L Issued in PA

Practice address

16000 Perry Hwy
Warrendale, PA 15086-7541

Phone

(724) 935-9966

Fax

(724) 935-9967

NPI assigned

Jan 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730234584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 PERRY HWY",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150867541",
            "telephone_number": "724-935-9966",
            "fax_number": "724-935-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PERRY HWY",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150867541",
            "telephone_number": "724-935-9966",
            "fax_number": "724-935-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024036-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Avolio, PARM.D
• Matthew D Barletta, PHARMD
• Ghassan K Bejjani, MD
• Jenica L Berk, PHARM.D.
• Danielle Leigh Blair, PHARMD
• Carter Bondo
• Joanne Fusca Bosilovic, RPH
• Maria Brosovic, CRNP
• Stephanie J Burns, PHARMD
• Bysun Medical LLC

• General Practice Dentistry in Warrendale, PA
• Providers in Warrendale, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.