Organization Active NPI

Rupert W. Bosley, DDS PA

  • Dentist
  • Frostburg, MD
National Provider Identifier
1891082038
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RUPERT W. BOSLEY, DDS PA
Practice address
16920 National Hwy SW
Frostburg, MD 21532-3306
Phone
(301) 689-3677
Fax
(301) 689-3477
NPI assigned
Jul 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Dr. Rupert Winston Bosley, DDS
Title
Dentist/Owner
Phone
(301) 689-3677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

16920 National Hwy SW
Frostburg, MD 21532-3306

Mailing address

16920 National Hwy SW
PO Box 284
Frostburg, MD 21532-3306
Phone (301) 689-3677

Other identifiers 1

IdentifierTypeStateIssuer
001284000MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1891082038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16920 NATIONAL HWY SW",
            "address_2": "PO BOX 284",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215323306",
            "telephone_number": "301-689-3677",
            "fax_number": "301-689-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16920 NATIONAL HWY SW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215323306",
            "telephone_number": "301-689-3677",
            "fax_number": "301-689-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUPERT W. BOSLEY, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "BOSLEY",
        "authorized_official_first_name": "RUPERT",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "301-689-3677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001284000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frostburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.