Fred E Bokel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1200888 Issued in IN

Practice address

5730 Falls Dr
Suite 200
Fort Wayne, IN 46804-7147

Phone

(260) 436-5718

Fax

(260) 436-5915

NPI assigned

Dec 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1356523047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 FALLS DR",
            "address_2": "SUITE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047147",
            "telephone_number": "260-436-5718",
            "fax_number": "260-436-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 FALLS DR",
            "address_2": "SUITE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047147",
            "telephone_number": "260-436-5718",
            "fax_number": "260-436-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKEL",
        "first_name": "FRED",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "1200888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M Bojrab, DPM
• David G Bojrab, DDS
• George David Bojrab, MD
• Michelle Alison Bojrab, MS,RDN,CD
• Nathan J Bojrab, D.D.S.
• Gordon Henry Bokhart, PHARM D.
• James E Bolander, MD
• Abby Bolanos Cortes, BSN, RN
• Victoria Bolden
• Dyllin Nicole Bolen

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.