Paul Boquet, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410404 Issued in VA

Practice address

2450 Connell Rd BLDG 2264
Fort Sam Houston, TX 78234-7664

Phone

(210) 221-0826

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1205991049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 ARMY BLVD BLDG 2018",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342686",
            "telephone_number": "210-221-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 CONNELL RD BLDG 2264",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347664",
            "telephone_number": "210-221-0826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3145 Garden Ave Ste 1278",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782347719",
            "country_code": "US",
            "telephone_number": "210-808-3735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOQUET",
        "first_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410404",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otto Boneta, MD
• Melissa Book, DPT
• Scott G. Book, M.D.
• Holly Booker
• Melissa Sanchez Boone, PA
• Matthew Arnold Borgman, M.D.
• Samantha Quinne Borrelli, PA-C
• Allan Boudreaux, MSN, RN, CCNS, CEN
• Sean Marcel Boulanger, DPT
• Derrick Paul Bouldin Jr., PA-C

• General Practice Dentistry in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.