Riley Boer
Individual provider Active NPI Dentist · Martinsville, IN
NPI 1134051865 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1134051865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12015005A (IN)
- Practice address
- 829 Plaza Dr
Martinsville, IN 46151-3236 - Phone
- (765) 342-7090
- Fax
- (765) 342-6703
- NPI assigned
- May 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12015005A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wells, Marvel & Hall, L.L.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12015005A | IN | Yes |
Addresses
Primary practice location
829 Plaza Dr
Martinsville, IN 46151-3236
Mailing address
829 Plaza Dr
Martinsville, IN 46151-3236
Phone (765) 342-7090
Other providers in Martinsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.