Individual provider Active NPI

Kenneth Hunter Boss, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bee Cave, TX
National Provider Identifier
1962850958
Registry record updated Sep 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
33910 Issued in TX
Practice address
15801 W Hwy 71 Unit 600
Bee Cave, TX 78738-2702
Phone
(512) 640-4289
NPI assigned
May 31, 2016
Last updated
Sep 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 33910 TX Primary

Addresses

Primary practice location

15801 W Hwy 71 Unit 600
Bee Cave, TX 78738-2702

Mailing address

1201 Wilson Heights Dr
Austin, TX 78746-6323
Phone (512) 640-4289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
33910TXMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Boss Ortho Kyle PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Boss Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Dec 6, 2020 Accepting new patients

Locations

15801 W Highway 71
Ste 600
Bee Cave, TX 78738
Phone (512) 640-4289

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1962850958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WILSON HEIGHTS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466323",
            "telephone_number": "512-640-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15801 W HWY 71 UNIT 600",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787382702",
            "telephone_number": "512-640-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSS",
        "first_name": "KENNETH",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "33910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bee Cave, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; 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.