Clinton Robert Boscamp, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5967 Issued in AZ

Practice address

9880 S Rural Rd Ste 108
Tempe, AZ 85284-4118

Phone

(480) 940-5422

Fax

(480) 940-5515

NPI assigned

May 29, 2008

Sex

Male

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 AZ

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

Practice roles

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

• Arizona Dental Professionals, P.C.

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1447655345
  NPD (past)
• Desert Family Dentistry PLLC

  • Dentist
  • Tempe, AZ
  • NPI 1356529952
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1902064579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 S RURAL RD STE 108",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852844118",
            "telephone_number": "480-940-5422",
            "fax_number": "480-940-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 S RURAL RD STE 108",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852844118",
            "telephone_number": "480-940-5422",
            "fax_number": "480-940-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCAMP",
        "first_name": "CLINTON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Bonfield, NP
• Elizabeth Boomer
• Melissa Ann Bootz
• Stephen Lawrence Borodkin, M.D.
• Sophie Helen Borowski, LCSW 10013
• Lauren Boskie
• Tony Joseph Botelho
• Dejaye Botkin, MA, LPC, NCC
• Elena Castillo Boushley, SLPA
• Keron Bowen

• General Practice Dentistry in Tempe, AZ
• Providers in Tempe, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.