Tara Elizabeth Boomsma, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D1242 Issued in SD

Practice address

2308 S Westlake Dr
Sioux Falls, SD 57106-8527

Phone

(605) 271-4422

NPI assigned

Jul 7, 2019

Last updated

Feb 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dell Rapids Dental

  • General Practice Dentistry
  • Dell Rapids, SD
  • NPI 1457843591
  NPD (past)
• Ford Management Services LLC

  • Dentist
  • Dell Rapids, SD
  • NPI 1093207193
  NPD (past)

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1063074326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W 4TH ST",
            "city": "DELL RAPIDS",
            "state": "SD",
            "postal_code": "570221508",
            "telephone_number": "605-428-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 S WESTLAKE DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571068527",
            "telephone_number": "605-271-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOMSMA",
        "first_name": "TARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-07",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Bonrud
• Mica Bonte, CRNA
• Amiah Boogerd, RN
• Sara Bookspan, BCBA
• Jamie Michael Boomgarden, P.T.
• Nicole Boone
• Kate H Boos, MD
• Rochelle Joy Boote, M.D.
• Lauren E Booth, DDS
• Sam Booth, MA

• Dentist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.