Individual provider Active NPI

Caneita Quiara Bosley, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1962761437
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q4074 Issued in TX
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

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422000594 TX Practitioner - Pediatric Medicine 7416256656 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q4074TXMDPediatrics Physician
430111404MIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc Pediatrics CurrentSince Feb 10, 2020 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Feb 10, 2020 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.

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

Verify at the official NPI Registry.