Organization Active NPI

Boatright Inc.

Doing business as Boatright Dental Group

  • General Practice Dentistry
  • Greencastle, IN
National Provider Identifier
1104947290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010755A Issued in IN
Legal business name
BOATRIGHT INC.
Doing business as
Boatright Dental Group
Practice address
125 E Washington St
Greencastle, IN 46135-1511
Phone
(765) 653-3393
Fax
(765) 653-6397
NPI assigned
Apr 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gina Marie Norman-Boatright, DDSNPI 1164543260
Title
President
Phone
(765) 653-3393

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12010755A IN Primary

Addresses

Primary practice location

125 E Washington St
Greencastle, IN 46135-1511

Mailing address

PO Box 94
Greencastle, IN 46135-0094
Phone (765) 653-3393

Other names 1

  • Boatright Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

125 E Washington St
Greencastle, IN 46135
Phone (765) 653-3393

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104947290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461350094",
            "telephone_number": "765-653-3393",
            "fax_number": "765-653-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E WASHINGTON ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351511",
            "telephone_number": "765-653-3393",
            "fax_number": "765-653-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOATRIGHT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORMAN-BOATRIGHT",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-653-3393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010755A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boatright Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greencastle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.