Candy Leeann Boruff, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

4273 Issued in TN

Practice address

2101 Medical Center Way
Knoxville, TN 37920-3257

Phone

(865) 549-5353

NPI assigned

Apr 1, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1235879586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 GRACELAND RD",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377212002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL CENTER WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203257",
            "telephone_number": "865-549-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUFF",
        "first_name": "CANDY",
        "middle_name": "LEEANN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "4273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ann Bornemann, CRNA
• Smita Borole
• Gerald Scott Borrelli, M.D.
• Bjarne M Borresen, CRNA
• Jennifer Leigh Borth
• Jeffrey Scott Boruff, M.D.
• Erin Richmond Borum, PMHNP
• Josilyn R Borum, BCBA, LBA
• Allison Cheyenne Boshears
• Brandi Bosman, CCC-SLP

• Dental Hygienist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.