Active NPI
John Christopher Boain, D.D.S.
- Dentist
- Florissant, MO
National Provider Identifier
1366456352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2006014863
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150527001219 | MO | Order and Referring Only - Oral Surgery | 8628398021 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006014863 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Florissant, MO
- NPI 1386703262
-
- General Practice Dentistry
- Florissant, MO
- NPI 1356811731
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.