Active NPI
Chad E Boger, D.D.S.
- Dentist
- Plymouth, MN
National Provider Identifier
1730355991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11664
- Practice address
- 2720 Annapolis Cir N Ste a
Plymouth, MN 55441-2501 - Phone
- (763) 546-7707
- Fax
- (763) 546-7713
- NPI assigned
- May 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11664 | MN | Primary |
Addresses
Primary practice location
2720 Annapolis Cir N Ste a
Plymouth, MN 55441-2501
Mailing address
2720 Annapolis Cir N Ste a
Plymouth, MN 55441-2501
Phone (763) 546-7707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen P. Boger, DDS, PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1730355991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 ANNAPOLIS CIR N STE A",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554412501",
"telephone_number": "763-546-7707",
"fax_number": "763-546-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 ANNAPOLIS CIR N STE A",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554412501",
"telephone_number": "763-546-7707",
"fax_number": "763-546-7713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGER",
"first_name": "CHAD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D11664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.