NPIMap

Organization Active NPI

Compassionate Dentistry, P.C.

  • Dental Clinic/Center
  • Kokomo, IN
National Provider Identifier
1063658631
Registry record updated Jan 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12008297A Issued in IN
Legal business name
COMPASSIONATE DENTISTRY, P.C.
Practice address
604 E Boulevard
Suite B
Kokomo, IN 46902-2200
Phone
(765) 864-2328
Fax
(765) 864-2333
NPI assigned
Jan 1, 2009
Last updated
Jan 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2009

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

Authorized official

Name
Dr. Scott B Boltz, D.D.S.NPI 1821178609
Title
Owner
Phone
(765) 864-2328

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12008297A IN Primary

Addresses

Primary practice location

604 E Boulevard
Suite B
Kokomo, IN 46902-2200

Mailing address

604 E Boulevard
Suite B
Kokomo, IN 46902-2200
Phone (765) 864-2328

Other names 1

  • Scott B. Boltz, DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

604 E Boulevard
Ste B
Kokomo, IN 46902
Phone (765) 864-2328

Practitioners & affiliated clinicians

Practitioners 1

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": "1230768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230768000000",
    "number": "1063658631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 E BOULEVARD",
            "address_2": "SUITE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022200",
            "telephone_number": "765-864-2328",
            "fax_number": "765-864-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E BOULEVARD",
            "address_2": "SUITE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022200",
            "telephone_number": "765-864-2328",
            "fax_number": "765-864-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-01",
        "last_updated": "2009-01-01",
        "status": "A",
        "authorized_official_last_name": "BOLTZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-864-2328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12008297A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott B. Boltz, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2009; 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.