Individual provider Active NPI

Elaine Christine Boosalis Toaddy, DDS

  • Dentist
  • Ankeny, IA
National Provider Identifier
1346897923
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14273 Issued in MN
Practice address
350 NW 18TH St
Ankeny, IA 50023-4283
Phone
(515) 965-2672
NPI assigned
Aug 20, 2019
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14273 MN Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DDS-10458 IA

Addresses

Primary practice location

350 NW 18TH St
Ankeny, IA 50023-4283

Mailing address

350 NW 18TH St
Ankeny, IA 50023-4283
Phone (515) 965-2672

Other practice location 1

901 W 16th St Ste 100
Pella, IA 50219-7956
Phone (641) 628-9195

Other names 1

  • Dr. Elaine Christine Boosalis Former name

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
D14273MNMDDentist
RES-30682IAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1346897923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 18TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234283",
            "telephone_number": "515-965-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 18TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234283",
            "telephone_number": "515-965-2672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W 16th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pella",
            "state": "IA",
            "postal_code": "502197956",
            "country_code": "US",
            "telephone_number": "641-628-9195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOSALIS TOADDY",
        "first_name": "ELAINE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14273",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "DDS-10458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "BOOSALIS",
            "middle_name": "CHRISTINE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 19, 2026; 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.