NPIMap

Individual provider Active NPI

Ellyn Adkins Boone, DDS

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1144962309
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.027084 Issued in OH
Practice address
8284 Beechmont Ave
Cincinnati, OH 45255-3153
Phone
(513) 231-1012
Fax
(513) 231-3925
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.027084 OH
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 30.027084 OH Primary

Addresses

Primary practice location

8284 Beechmont Ave
Cincinnati, OH 45255-3153

Mailing address

University of Tennessee 875 Union Ave Suite C211
Memphis, TN 38163-0001
Phone (901) 448-6930

Other practice location 1

University Of Tennessee 875 Union Ave Suite C211
Memphis, TN 38163-0001
Phone (901) 448-6930

Other names 1

  • Ellyn Carter Adkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.027084OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
CD Ohio Derrick Kruger DDS, Inc. Dentist CurrentSince Apr 6, 2023 Accepting new patients
CD Ohio Derrick Kruger DDS, Inc. General Practice PastSince Mar 31, 2024 Accepting new patients
Rogers Family Dentistry Dentist PastSince Apr 6, 2023 Accepting new patients

Locations

8284 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 231-1012

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1144962309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF TENNESSEE 875 UNION AVE SUITE C211",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381630001",
            "telephone_number": "901-448-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8284 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553153",
            "telephone_number": "513-231-1012",
            "fax_number": "513-231-3925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Tennessee 875 Union Ave Suite C211",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381630001",
            "country_code": "US",
            "telephone_number": "901-448-6930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "ELLYN",
        "middle_name": "ADKINS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027084",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLYN",
            "last_name": "ADKINS",
            "middle_name": "CARTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.