Amanda B. Boltwood DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

2901019600 Issued in MI

Legal business name

AMANDA B. BOLTWOOD DDS PLLC

Practice address

2490 Walton Blvd
Suite 202
Rochester Hills, MI 48309-1484

Phone

(248) 656-2244

Fax

(248) 656-0225

NPI assigned

Jul 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Brianne Boltwood, DDSNPI 1225231616

Title

Owner

Phone

(248) 656-2244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Amanda B Boltwood, DDS

  • Dentist
  • Rochester Hills, MI
  • NPI 1225231616
  Medicare reassignment NPD Authorized official
• Charles H Lewis, D.D.S.

  • General Practice Dentistry
  • Rochester Hills, MI
  • NPI 1952577587
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1841606332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 WALTON BLVD",
            "address_2": "SUITE 202",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091484",
            "telephone_number": "248-656-2244",
            "fax_number": "248-656-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 WALTON BLVD",
            "address_2": "SUITE 202",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091484",
            "telephone_number": "248-656-2244",
            "fax_number": "248-656-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA B. BOLTWOOD DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "BOLTWOOD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "BRIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-656-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mortada Altwaij, OD
• Kayla Marie Alverson
• Lidia Alward
• Fanar Alyas, MD
• Sarah Alzaroui, MD
• Amanda Browning Counseling
• Amarbir Singh Khaira MD PLLC
• Amazing Grace Home Care
• Saima Ambia, PA-C
• America'S Best Contacts & Eyeglasses

• Dentist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.