Michael J Boschetti, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15618 Issued in MA

Practice address

1 Orr SQ
Revere, MA 02151-3200

Phone

(781) 284-1430

NPI assigned

Jul 1, 2006

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

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760411821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ORR SQ",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513200",
            "telephone_number": "781-284-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ORR SQ",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513200",
            "telephone_number": "781-284-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCHETTI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A. Booker
• Stephen Boorman, M.S CCC-SLP
• Ryan William Borders, DMD
• Dennis Borg, ATC, CSCS
• Boschetti Family Dental PLLC
• Nicholas Michael Boschetti, D.M.D.
• Boston Certified Afc
• Boston Healthcare VA
• Boston Home Care LLC
• Boston Homecare LLC

• General Practice Dentistry in Revere, MA
• Providers in Revere, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.