Organization Active NPI

Boain Dental Care

  • General Practice Dentistry
  • Florissant, MO
National Provider Identifier
1386703262
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11341 Issued in MO
Legal business name
BOAIN DENTAL CARE
Practice address
1001 Dunn Rd
Florissant, MO 63031-8215
Phone
(314) 921-3527
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Joseph L Boain, D.D.S.
Title
Owner
Phone
(314) 921-3527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 11341 MO Primary

Addresses

Primary practice location

1001 Dunn Rd
Florissant, MO 63031-8215

Mailing address

1001 Dunn Rd
Florissant, MO 63031-8215
Phone (314) 921-3527

National Provider Directory

National Provider Directory

Locations

1001 Dunn Rd
Florissant, MO 63031
Phone (314) 921-3527

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1386703262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DUNN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318215",
            "telephone_number": "314-921-3527"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOAIN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "BOAIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-921-3527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "11341",
            "primary": true
        }
    ],
    "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 Nov 21, 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.