Organization Active NPI

Boss Orthodontics, PLLC

Doing business as Boss Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bee Cave, TX
National Provider Identifier
1740809003
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BOSS ORTHODONTICS, PLLC
Doing business as
Boss Orthodontics
Practice address
15801 W Hwy 71 Ste 600
Bee Cave, TX 78738-2709
Phone
(512) 640-4289
NPI assigned
Apr 15, 2020
Last updated
Apr 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Dr. Kenneth Hunter Boss, DDS, MSNPI 1962850958
Title
Owner
Phone
(231) 675-1369

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

15801 W Hwy 71 Ste 600
Bee Cave, TX 78738-2709

Mailing address

15801 W Hwy 71 Ste 600
Bee Cave, TX 78738-2709
Phone (512) 640-4289

Other names 1

  • Boss Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

15801 W Highway 71
Ste 600
Bee Cave, TX 78738
Phone (512) 640-4289

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1740809003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 W HWY 71 STE 600",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787382709",
            "telephone_number": "512-640-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15801 W HWY 71 STE 600",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787382709",
            "telephone_number": "512-640-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "BOSS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-675-1369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boss Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bee Cave, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.