Individual provider Active NPI

Alexander Napoleon Boulay

  • Dentist
  • Nashville, TN
National Provider Identifier
1063104891
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12877 Issued in TN
Practice address
1009 Murfreesboro Pike Ste 101
Nashville, TN 37217-1511
Phone
(615) 857-9596
NPI assigned
May 22, 2023
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12877 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1009 Murfreesboro Pike Ste 101
Nashville, TN 37217-1511

Mailing address

300 Findon CT
Franklin, TN 37064-6120
Phone (615) 856-5066

Other practice location 1

1919 7th Ave S
Birmingham, AL 35233-2005
Phone (205) 934-3387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12877TNMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1063104891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FINDON CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370646120",
            "telephone_number": "615-856-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 MURFREESBORO PIKE STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372171511",
            "telephone_number": "615-857-9596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352332005",
            "country_code": "US",
            "telephone_number": "205-934-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOULAY",
        "first_name": "ALEXANDER",
        "middle_name": "NAPOLEON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12877",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.