Sherry Dawn Boutcher, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H7930 Issued in MN

Practice address

903 West Center Street Suite 208
United Way Building
Rochester, MN 55902

Phone

(507) 529-0436

Fax

(507) 529-0435

NPI assigned

Aug 30, 2010

Sex

Female

Sole proprietor

Yes

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.

• Children'S Dental Health Services

  • Dental Clinic/Center
  • Rochester, MN
  • NPI 1881780864
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2010.

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1093021982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 WEMBLEY LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014170",
            "telephone_number": "507-280-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WEST CENTER STREET SUITE 208",
            "address_2": "UNITED WAY BUILDING",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55902",
            "telephone_number": "507-529-0436",
            "fax_number": "507-529-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTCHER",
        "first_name": "SHERRY",
        "middle_name": "DAWN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H7930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Joseph Bouquet, DDS
• Katherine Ann Bouquet, APRN, CRNA, DNAP
• Michelle M Bouquet, PA-C
• Tim Bouquet
• William M Bourne, M.D.
• Jean Boutin
• Sherronda Jean Bowden
• Jacob Douglas Bowdon, PA-C
• Cassandra Bowe, DNP, FNP
• Chelsea Lee Bowe, APRN, CNP

• All providers in Rochester, MN
• Dental Hygienist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.