Individual provider Active NPI

Jennifer Boyles, DDS

  • Dentist
  • Ankeny, IA
National Provider Identifier
1326417593
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
09520 Issued in IA
Practice address
1225 SW State St
Ankeny, IA 50023-2545
Phone
(515) 964-8350
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 09520 IA Primary

Addresses

Primary practice location

1225 SW State St
Ankeny, IA 50023-2545

Mailing address

2575 1St Ave S
Altoona, IA 50009
Phone (515) 200-1299

Other practice location 1

2575 1st Ave S
Altoona, IA 50009
Phone (515) 200-1299

Other practice location 2

34225 N 27th Dr Bldg 5
Phoenix, AZ 85085-6087
Phone (623) 322-1538

Other practice location 3

6630 Mills Civic Pkwy Unit 1110
West Des Moines, IA 50266-8354
Phone (515) 327-7000 ext. 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09520IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Dental Pop West Des Moines PC PastSince Dec 22, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1326417593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 1ST AVE S",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "50009",
            "telephone_number": "515-200-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 SW STATE ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232545",
            "telephone_number": "515-964-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2575 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "IA",
            "postal_code": "50009",
            "country_code": "US",
            "telephone_number": "515-200-1299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34225 N 27th Dr Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850856087",
            "country_code": "US",
            "telephone_number": "623-322-1538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6630 Mills Civic Pkwy Unit 1110",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502668354",
            "country_code": "US",
            "telephone_number": "515-327-7000 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "09520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.