Jonathan Edmund Boes, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8432 Issued in NC

Practice address

3415 Rogers Rd.
Suite 100
Wake Forest, NC 27587

Phone

(919) 554-9955

Fax

(919) 554-9933

NPI assigned

Jul 6, 2007

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

Enrolled in NC

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.

• Abdelbaky & Boes II, PLLC

  • General Practice Dentistry
  • Wake Forest, NC
  • NPI 1164732160

  General Practice

  NPD (past) Authorized official
• Dr. Cameron & Associates of Brier Creek, PLLC

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1437622792

  General Practice

  NPD (past) Authorized official
• Abdelbaky, Arbon & Boes, PLLC

  • Pediatric Dentistry
  • Cary, NC
  • NPI 1063868438
  NPD (past)
• DRS. Abdelbaky, Boes, Cameron & Associates of Raleigh, PLLC

  • Pediatric Dentistry
  • Rolesville, NC
  • NPI 1912789470

  General Practice

  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1326246778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8470 FALLS OF NEUSE RD.",
            "address_2": "SUITE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27615",
            "telephone_number": "919-977-0627",
            "fax_number": "919-977-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 ROGERS RD.",
            "address_2": "SUITE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "919-554-9955",
            "fax_number": "919-554-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOES",
        "first_name": "JONATHAN",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8432",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Dale Blakeman, M.A.
• George Bryan Blalock, R.PH.
• Bloom Joy LLC
• Blue Homecare Services LLC
• Larry Elbert Bobbitt
• Cameron Bohmer
• Catherine Thornton Boles, DDS
• Jonne Allyson Boone, LCSW, BCD
• Matthew Stephen Boulos, D.O.
• Joan Elaine Bourdon, P.T.

• All providers in Wake Forest, NC
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.