Kanika L. Booze, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23068 Issued in TX

Practice address

1100 Lowes Blvd
Killeen, TX 76542-5491

Phone

(254) 382-8735

NPI assigned

Dec 8, 2006

Last updated

Feb 11, 2022By the provider in NPPES

Sex

Female

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

Enrolled in TN

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarksville Dental Center, PLLC

  • General Practice Dentistry
  • Clarksville, TN
  • NPI 1043388713
  NPD (past)
• Clarksville Dental Group PLLC

  dba Clarksville Dental Center

  • Dentist
  • Clarksville, TN
  • NPI 1518758408
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1780743476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 MOSAIC TRL",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425332",
            "telephone_number": "254-415-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LOWES BLVD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425491",
            "telephone_number": "254-382-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOZE",
        "first_name": "KANIKA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Eldridge Bonincontri
• Jessica Maame Bonney
• Katelyn Booker
• Richard R Boone, PH.D.
• Hailey Renee Booth, APRN, FNP
• Boros Enterprises, PLLC (Moving Forward Therapy and Beyond)
• Paula Boros, PH.D., LMFT-S
• Ashley Bosque Velez
• Adam Carl Bossen, MD
• Lisa K Boster, BCBA

• General Practice Dentistry in Killeen, TX
• Providers in Killeen, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.