William Darren Boles, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NH-3046 Issued in NH

Practice address

36 Endicott St East
Laconia, NH 03246

Phone

(603) 366-4400

Fax

(603) 366-4410

NPI assigned

Oct 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nek Dental Medicine PLLC

  • Dentist
  • St Johnsbury, VT
  • NPI 1174268163
  NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275620098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5577",
            "address_2": "36 ENDICOTT ST EAST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032475577",
            "telephone_number": "603-366-4400",
            "fax_number": "603-366-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ENDICOTT ST EAST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "03246",
            "telephone_number": "603-366-4400",
            "fax_number": "603-366-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "WILLIAM",
        "middle_name": "DARREN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "NH-3046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30313113",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia A Blackmer, ARNP
• Wayne Blanchard, MS
• Eve Block, MSW
• Fallyn Boisvert, AS
• Beverly J Bolduc, RNC
• Nicholas Joseph Bompastore, MD
• Joseph V Bonan
• Stephen Robert Boone, DDS
• Boothby Therapy Services, LLC
• Maren E Boothby, SLP

• General Practice Dentistry in Laconia, NH
• Providers in Laconia, NH by specialty
• General Practice Dentistry in New Hampshire

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.