npidexNPI registry + Medicare data

RAISON BOSE, DDS

Endodontics · WAUWATOSA, WI

Individual Active Opted out of Medicare NPI 1780815928

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Endodontics1223E0200X✓6750-015WI

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Dentist), effective 2016-04-06 through 2028-04-06.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.