Gina Marie Norman-Boatright, DDS
Individual provider Active NPI General Practice Dentistry · Greencastle, IN
NPI 1164543260 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1164543260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12010755A (IN)
- Practice address
- 1212 S Bloomington St
Greencastle, IN 46135-2269 - Phone
- (765) 653-3393
- Fax
- (765) 653-6397
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160801001931 | IN | Order and Referring Only - Dentist |
8628361474 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010755A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boatright Inc. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12010755A | IN | Yes |
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
Other providers in Greencastle, IN
- David Gustav Mohr
- Christine Elizabeth Moore
- Joan Marie Mundy
- Kathleen Amber Kearney Naylor
- Sharon A Nicoson
- Osei Nti
- William Nunn
- Kiran Sue Nyx
- Oluwatimilehin Rachel Olaitan
- Old National Trail Special Services Cooperative
All providers in Greencastle, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.