Boeke & Associates, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13526 Issued in TX

Legal business name

BOEKE & ASSOCIATES, PA

Practice address

4624 Lakeview Pkwy
Rowlett, TX 75088

Phone

(972) 840-2020

Fax

(972) 694-0260

NPI assigned

Jun 22, 2017

Organization subpart

No

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

Authorized official

Name

Carolyn Boeke

Title

Director

Phone

(972) 840-2020

Specialties & licenses 1

Addresses

Other names 1

• Bayside Dental Rowlett Doing business as

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336669167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884027",
            "telephone_number": "972-840-2020",
            "fax_number": "972-694-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "75088",
            "telephone_number": "972-840-2020",
            "fax_number": "972-694-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOEKE & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOEKE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-840-2020"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Dental Rowlett",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayside Dental Rowlett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Marie Blakley, PA-C
• Mariah Blanco
• Meridith L Blanford, CFA
• Christopher Aaron Boatwright I, LPC INTERN
• Body Mind Soul Healing PLLC
• Bradley Boeke, D.D.S.
• George A Bogard, DDS
• Paulette Bohannon, SA-C
• Hilary Dawn Bontrager, COTA
• Amelia Noel Borden

• General Practice Dentistry in Rowlett, TX
• Providers in Rowlett, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.