Brant Boling, DDS, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019240 Issued in TX

Legal business name

BRANT BOLING, DDS, PLLC

Practice address

1429 Clear Lake Rd Ste 700
Weatherford, TX 76086-5805

Phone

(817) 598-0835

Fax

(817) 598-0845

NPI assigned

Aug 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brant Boling, DDSNPI 1942272646

Title

Manager

Phone

(817) 598-0835

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brant W Boling, DDS

  • Pediatric Dentistry
  • Weatherford, TX
  • NPI 1942272646
  NPD (past) Authorized official

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1790916146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 CLEAR LAKE RD STE 700",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865805",
            "telephone_number": "817-598-0835",
            "fax_number": "817-598-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 CLEAR LAKE RD STE 700",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865805",
            "telephone_number": "817-598-0835",
            "fax_number": "817-598-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANT BOLING, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "BOLING",
        "authorized_official_first_name": "BRANT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-598-0835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "019240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962664-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Miller DO PA
• Braden Partners LP
• Abbey Grace Bradford
• Robert C Bradford, RPH
• James E Branch, PHARM.D.
• Garin Wayne Brassie, D.C.
• Brazos Regional Neurology, PA
• Angelia G Breeze, LMT
• Jennifer Breito, CRNA
• Lindsey Brewer

• Pediatric Dentistry in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.