{"npi":"1053545707","type":"NPI-1","status":"active","name":{"display":"Dr. Thomas Bolten D.D.S., MD","other":[],"first":"THOMAS","last":"BOLTEN","middle":"RICHARD","credential":"D.D.S., MD"},"specialty":{"primary_taxonomy":"1223S0112X","primary_taxonomy_description":"Oral and Maxillofacial Surgery (Dentist)","slug":"oral-and-maxillofacial-surgery-dentist","schema_org_specialty":null,"all":[{"code":"1223S0112X","description":"Oral and Maxillofacial Surgery (Dentist)","primary":true,"state":"MI","license":"2901020176"}]},"addresses":[{"purpose":"LOCATION","street_1":"6022 W MAPLE RD STE 405","city":"WEST BLOOMFIELD","state":"MI","postal_code":"483224408","country_code":"US","phone":"2488552006","fax":"2488550571"},{"purpose":"MAILING","street_1":"6022 W MAPLE RD STE 405","city":"WEST BLOOMFIELD","state":"MI","postal_code":"483224408","country_code":"US","phone":"2488552006","fax":"2488550571"}],"license":{"state":"MI","number":"2901020176"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160909001025","type_code":"14-19","type_desc":"PRACTITIONER - ORAL SURGERY","state":"MI","pac_id":"6901821875"}]},"enumeration_date":"2009-05-11","last_updated":"2025-06-19","_meta":{"source":"NPPES","snapshot_date":"2025-06-19","doc_url":"https://findmynpi.com/api"}}