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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Amanda Heydari Boisen, DDS

Periodontics in Oakland, CA · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104406057

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Registry record

Entity type Individual (Type 1)
Name Dr. Amanda Heydari Boisen
Credential DDS
Sex Female
Practice address Oakland, CA, 94609
Enumeration date Apr 13, 2021
Last updated in NPPES Oct 24, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223P0300X Periodontics Dental Providers · License 104420 (CA) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Amanda Boisen practice?
The practice location on file with NPPES is in Oakland, CA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Amanda Boisen?
The National Provider Identifier (NPI) for Amanda Boisen is 1104406057, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-24.