Stanley A Boucree Sr., D.D.S., M.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4139 Issued in MD

Practice address

8555 16TH St
Suite 404
Silver Spring, MD 20910-2816

Phone

(301) 585-5900

Fax

(301) 585-5901

NPI assigned

Mar 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23649/brand/1/csg/1/fhir/r4

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

• Boucree & Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Silver Spring, MD
  • NPI 1407516065
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1063532059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 16TH ST",
            "address_2": "SUITE 404",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102816",
            "telephone_number": "301-585-5900",
            "fax_number": "301-585-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 16TH ST",
            "address_2": "SUITE 404",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102816",
            "telephone_number": "301-585-5900",
            "fax_number": "301-585-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCREE",
        "first_name": "STANLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN2333",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "4139",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN2333",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021233500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Matthew Botman, MD
• Emad Botros, RPH
• Mark Howard Bottinick, LCSW-C
• Ashleigh Cassandra Bouchelion, M.D., PH.D.
• Boucree & Associates
• Stanley Anthony Boucree Jr., DDS, MD
• Katiana Bouda Batako
• Dehinatou Boukari
• Judith Kah Bouma
• Afolabi Bouraima

• Oral and Maxillofacial Surgery (Dentist) in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.