Active NPI
Gina Marie Norman-Boatright, DDS
- General Practice Dentistry
- Greencastle, IN
National Provider Identifier
1164543260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12010755A
- Practice address
- 1212 S Bloomington St
Greencastle, IN 46135-2269 - Phone
- (765) 653-3393
- Fax
- (765) 653-6397
- NPI assigned
- Apr 3, 2007
- Last updated
- Jun 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12010755A | IN | Primary |
Addresses
Primary practice location
1212 S Bloomington St
Greencastle, IN 46135-2269
Mailing address
1212 S Bloomington St
Greencastle, IN 46135-2269
Phone (765) 653-3393
Other practice location 1
1121 W Michigan St
Indianapolis, IN 46202-5211
Phone (317) 274-7433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160801001931 | IN | Order and Referring Only - Dentist | 8628361474 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boatright Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1164543260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 S BLOOMINGTON ST",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461352269",
"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": "1212 S BLOOMINGTON ST",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461352269",
"telephone_number": "765-653-3393",
"fax_number": "765-653-6397"
}
],
"practiceLocations": [
{
"address_1": "1121 W Michigan St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025211",
"country_code": "US",
"telephone_number": "317-274-7433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORMAN-BOATRIGHT",
"first_name": "GINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12010755A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greencastle, IN
- David Gustav Mohr, D.C.
- Christine Elizabeth Moore
- Joan Marie Mundy, OT
- Kathleen Amber Kearney Naylor, D.O.
- Sharon A Nicoson, NP
- Osei Nti
- William Nunn, PHD, HSPP
- Kiran Sue Nyx, LSW
- Oluwatimilehin Rachel Olaitan
- Old National Trail Special Services Cooperative (North Putnam Community School Corporation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.