Active NPI
Howard A Boone, M.D.
- Surgery Physician
- Truckee, CA
National Provider Identifier
1174629893
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Dec 19, 2013.
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C343900
- Practice address
- 10956 Donner Pass Rd Ste 310
Truckee, CA 96161-4861 - Phone
- (530) 587-1272
- Fax
- (530) 587-2015
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C343900 | CA | Primary |
Addresses
Primary practice location
10956 Donner Pass Rd Ste 310
Truckee, CA 96161-4861
Mailing address
PO Box 1076
Truckee, CA 96160-1076
Phone (530) 587-1272
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C343900 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174629893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1076",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961601076",
"telephone_number": "530-587-1272",
"fax_number": "530-587-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10956 DONNER PASS RD STE 310",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614861",
"telephone_number": "530-587-1272",
"fax_number": "530-587-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "HOWARD",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C343900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.