Bosey Dental Enterprises PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BOSEY DENTAL ENTERPRISES PLLC

Practice address

4698 S Highland Dr Ste 200
Salt Lake City, UT 84117-5265

Phone

(801) 278-0840

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Cody Boseman, DDS

Title

Owner

Phone

(801) 278-0840

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• J. Jerald Boseman, D.D.S.

  • Dentist
  • Salt Lake City, UT
  • NPI 1821207283
  NPD (past)
• Jody Boseman, DDS

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1285032011
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1992364368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4698 S HIGHLAND DR STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175265",
            "telephone_number": "801-278-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4698 S HIGHLAND DR STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175265",
            "telephone_number": "801-278-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSEY DENTAL ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "BOSEMAN",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-278-0840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarivette Bosch, MD
• Mark E Boschert, M.D.
• J. Jerald Boseman, D.D.S.
• Jody Boseman, DDS
• Jordan Cody Boseman, DDS
• Peter William Bossart, MD
• Philip J Bossart, MD
• Steven Colter Bossman
• Jonathan Boster, O.D.
• Randy Earl Bostwick

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.