NPIMap

Organization Active NPI

Bossolina DDS PLLC

  • Dental Clinic/Center
  • Charlotte, NC
National Provider Identifier
1851897854
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10133 Issued in NC
Legal business name
BOSSOLINA DDS PLLC
Doing business as
Center City Dental
Practice address
400 South Tryon Street
Suite M-4
Charlotte, NC 28202
Phone
(704) 376-5950
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Authorized official

Name
Dr. Michael Joseph Bossolina Jr., DDSNPI 1013205368
Title
Owner
Phone
(248) 979-4323

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
Dental Clinic/Center 261QD0000X 10133 NC Primary

Addresses

Primary practice location

400 South Tryon Street
Suite M-4
Charlotte, NC 28202

Mailing address

400 South Tryon Street
Suite M-4
Charlotte, NC 28202
Phone (704) 376-5950

Other identifiers 1

IdentifierTypeStateIssuer
1013205368OtherPERSONAL, NOT BUSINESS NPI

Other names 1

  • Center City Dental Doing business as

National Provider Directory

National Provider Directory

Locations

400 S Tryon St
Ste M4
Charlotte, NC 28202
Phone (704) 376-5950

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1851897854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOUTH TRYON STREET",
            "address_2": "SUITE M-4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28202",
            "telephone_number": "704-376-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTH TRYON STREET",
            "address_2": "SUITE M-4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28202",
            "telephone_number": "704-376-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSSOLINA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "BOSSOLINA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-979-4323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "10133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL, NOT BUSINESS NPI",
            "identifier": "1013205368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.