Organization Active NPI

Charles E Boren DDS PC

  • General Practice Dentistry
  • Bellaire, TX
National Provider Identifier
1003639048
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHARLES E BOREN DDS PC
Practice address
5200 Cedar St
Bellaire, TX 77401-3915
Phone
(713) 655-7673
Fax
(713) 655-7645
NPI assigned
Nov 7, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Charles E Boren, DDS PCNPI 1700894151
Title
Owner
Phone
(713) 655-7673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5200 Cedar St
Bellaire, TX 77401-3915

Mailing address

5200 Cedar St
Bellaire, TX 77401-3915
Phone (713) 655-7673

National Provider Directory

National Provider Directory

Locations

5200 Cedar St
Bellaire, TX 77401
Phone (713) 655-7673

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1003639048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CEDAR ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013915",
            "telephone_number": "713-655-7673",
            "fax_number": "713-655-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CEDAR ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013915",
            "telephone_number": "713-655-7673",
            "fax_number": "713-655-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E BOREN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-655-7673",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.