Thomas Michael Boone, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34661 Issued in CA

Practice address

11702 Beach Blvd
Stanton, CA 90680-3609

Phone

(714) 898-5600

Fax

(800) 535-9941

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Practice roles

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.

• Oc Dental Specialists

  • Dentist
  • Stanton, CA
  • NPI 1104348150
  NPD (past) Authorized official
• Thomas Boone

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1285932954

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305331200000",
    "number": "1124042460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1543",
            "city": "SUNSET BEACH",
            "state": "CA",
            "postal_code": "907421543",
            "telephone_number": "714-606-9194",
            "fax_number": "310-327-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11702 BEACH BLVD",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803609",
            "telephone_number": "714-898-5600",
            "fax_number": "800-535-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie A Bessent
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• Michael Vincent Bigay, P.T.
• Kamaliah Binti Jalalonmuhali
• Jeffery Boots
• Morgan Leigh Boyer, OTD
• Rachel Laura Bradley
• Sam Brandel
• Glen Brinagh

• All providers in Stanton, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2011; 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.