Charles Knox Boatner, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

20864 Issued in TX

Practice address

1760 Rufe Snow Dr
Keller, TX 76248-5628

Phone

(817) 498-3889

Fax

(817) 281-2810

NPI assigned

Oct 4, 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

Practice roles

Locations

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.

• Payne & Boatner DDS PC

  • Dentist
  • Keller, TX
  • NPI 1851655146
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1285729285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 RUFE SNOW DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485628",
            "telephone_number": "817-498-3889",
            "fax_number": "817-281-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 RUFE SNOW DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485628",
            "telephone_number": "817-498-3889",
            "fax_number": "817-281-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATNER",
        "first_name": "CHARLES",
        "middle_name": "KNOX",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20864",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Claudine Gabriella Boeck, RPH
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• Kadie Elizabeth Bolton, MA., BCBA, LBA
• Sylvia C Bonniwell, CLC

• Dentist in Keller, TX
• Providers in Keller, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.