Individual provider Active NPI

John Christopher Boain, D.D.S.

  • Dentist
  • Florissant, MO
National Provider Identifier
1366456352
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2006014863 Issued in MO
Practice address
1001 Dunn Rd
Florissant, MO 63031-8215
Phone
(314) 921-3527
Fax
(314) 921-7855
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2006014863 MO Primary
General Practice Dentistry 1223G0001X 2006014863 MO

Addresses

Primary practice location

1001 Dunn Rd
Florissant, MO 63031-8215

Mailing address

3208 Shady Oak Dr
Saint Charles, MO 63301-5011
Phone (314) 921-3527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20150527001219 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628398021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006014863MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
John C. Boain, DDS Dental Care, LLC Dentist Past Accepting new patients
Boain Dental Care General Practice Past Accepting new patients

Organizations & group practices 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1366456352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 SHADY OAK DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633015011",
            "telephone_number": "314-921-3527",
            "fax_number": "314-921-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DUNN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318215",
            "telephone_number": "314-921-3527",
            "fax_number": "314-921-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAIN",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2006014863",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2006014863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.