Active NPI
Caneita Quiara Bosley, MD
- Pediatrics Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q4074
- Practice address
- 2727 W Holcombe Blvd
Houston, TX 77025-1669 - Phone
- (713) 442-0000
- NPI assigned
- May 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 430111404 | MI | |
| Pediatrics Physician | 208000000X | Q4074 | TX | Primary |
Addresses
Primary practice location
2727 W Holcombe Blvd
Houston, TX 77025-1669
Mailing address
3208 N Macgregor Way Unit C
Houston, TX 77004-8151
Phone (810) 869-3522
Other practice location 1
6410 Fannin St
Suite 500
Houston, TX 77030-3000
Phone (832) 325-7111
Other practice location 2
1818 N Memorial Way Ste 200
Houston, TX 77007-8383
Phone (713) 522-5355
Other names 1
- Caneita Quiara Creighton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q4074 | TX | MD | Pediatrics Physician |
| 430111404 | MI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Community Health Services, Inc | Pediatrics | Current | Accepting new patients |
| Legacy Community Health Services, Inc | Current | Accepting new patients |
Locations
3030 North St
Ste 500
Beaumont, TX 77702
Phone (409) 212-1533
12667 Bissonnet St
Houston, TX 77099
Phone (281) 498-6100
6500 Rookin St
Ste 200
Houston, TX 77074
Phone (713) 351-7350
1415 California St
Houston, TX 77006
Phone (713) 665-8800
5420 Dashwood Dr
Ste 100
Houston, TX 77081
Phone (713) 486-2900
6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300
3021 Texas Pkwy
Missouri City, TX 77489
14030 Florence Rd
Sugar Land, TX 77498
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1679524961
Pediatrics
-
- Federally Qualified Health Center (FQHC)
- Pasadena, TX
- NPI 1609762889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1962761437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 N MACGREGOR WAY UNIT C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770048151",
"telephone_number": "810-869-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 W HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251669",
"telephone_number": "713-442-0000"
}
],
"practiceLocations": [
{
"address_1": "6410 Fannin St",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303000",
"country_code": "US",
"telephone_number": "832-325-7111",
"fax_number": "713-512-2231",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 N Memorial Way Ste 200",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770078383",
"country_code": "US",
"telephone_number": "713-522-5355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSLEY",
"first_name": "CANEITA",
"middle_name": "QUIARA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-03",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "430111404",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q4074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANEITA",
"last_name": "CREIGHTON",
"middle_name": "QUIARA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.