NPIMap

Organization Active NPI

Boss Dental

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1982843785
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047068 Issued in NY
Legal business name
BOSS DENTAL
Practice address
821 57TH Street, 1St FL
Brooklyn, NY 11220-3645
Phone
(718) 686-0313
NPI assigned
Feb 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Angela Lo
Title
Manager
Phone
(718) 886-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 047068 NY Primary

Addresses

Primary practice location

821 57TH Street, 1St FL
Brooklyn, NY 11220-3645

Mailing address

821 57TH Street, 1St FL
Brooklyn, NY 11220-3645

Other identifiers 1

IdentifierTypeStateIssuer
02618188MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Boss Dental6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1982843785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 57TH STREET, 1ST FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 57TH STREET, 1ST FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203645",
            "telephone_number": "718-686-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-886-7222"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02618188",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.