Individual provider Active NPI

Dayn Corot Boitet, DDS

  • General Practice Dentistry
  • Orange Park, FL
National Provider Identifier
1194834812
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN8344 Issued in FL
Practice address
1665 Eagle Harbor Parkway East
Orange Park, FL 32003-4802
Phone
(904) 264-6700
Fax
(904) 264-6855
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DN8344 FL
General Practice Dentistry 1223G0001X DN8344 FL Primary

Addresses

Primary practice location

1665 Eagle Harbor Parkway East
Orange Park, FL 32003-4802

Mailing address

1665 Eagle Harbor Parkway East
Orange Park, FL 32003-4802
Phone (904) 264-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190422000141 FL Order and Referring Only - DentistPractitioner - Dentist 6204178320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Lake Sleep and Wellness, LLC Durable Medical Equipment & Medical Supplies CurrentSince Jun 30, 1981 Accepting new patients
Doctors Lake Family Dental PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1194834812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 EAGLE HARBOR PARKWAY EAST",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034802",
            "telephone_number": "904-264-6700",
            "fax_number": "904-264-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 EAGLE HARBOR PARKWAY EAST",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034802",
            "telephone_number": "904-264-6700",
            "fax_number": "904-264-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOITET",
        "first_name": "DAYN",
        "middle_name": "COROT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "DN8344",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.