James E. Boulton, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS-3169 Issued in TN

Practice address

2292 Chambliss Ave NW
Suite B
Cleveland, TN 37311-3862

Phone

(423) 476-7600

Fax

(423) 476-3949

NPI assigned

Aug 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235148024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2292 CHAMBLISS AVE NW",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113862",
            "telephone_number": "423-476-7600",
            "fax_number": "423-476-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 CHAMBLISS AVE NW",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113862",
            "telephone_number": "423-476-7600",
            "fax_number": "423-476-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULTON",
        "first_name": "JAMES",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "DS-3169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Daniel Boerema, M.D.
• Alicia Boggess, MFT-I
• Brooke Denise Booher, APRN, FNP-C
• Tara Denise Borden
• Bettie B Borton, AU.D.
• Sviatoslav Bouz, DDS
• Jonathan Ross Bovee, ATC
• Rhonda M Bovine, MSN
• Areli Bowden, MS, CCC-SLP
• James Bowen, APRN

• Endodontics in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Endodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.