Roy Bolton

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0085013 Issued in TX

Legal business name

ROY BOLTON

Doing business as

Dogwood Medical Supplies

Practice address

704 W Main St
Palestine, TX 75801-2608

Phone

(903) 723-2355

Fax

(903) 723-1580

NPI assigned

Sep 15, 2010

Last updated

Mar 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roy Henry Bolton, RN

Title

Owner

Phone

(903) 723-2355

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Dogwood Medical Supplies Doing business as

Locations

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1417265208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "ELKHART",
            "state": "TX",
            "postal_code": "758390841",
            "telephone_number": "903-723-2355",
            "fax_number": "903-723-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W MAIN ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758012608",
            "telephone_number": "903-723-2355",
            "fax_number": "903-723-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY BOLTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-723-2355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0085013",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0085013",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TX",
            "license": "0085013",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0085013",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0085013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197874401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181024403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dogwood Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Rodriguez
• Rebecca Rogers, LMT, MMP, CMCP
• Wanza Deen Rogers, COTA
• John M Ross, M.D.
• Glenn Routhouska, D.O.
• Royall Dental Care & Implants
• Jacquelyn Ivette Rubalcava, OD
• Jose Gilberto Rubio Jr., BCBA
• Matthew Brian Rudolph, D.O.
• Denice Rutledge, COTA

• Durable Medical Equipment & Medical Supplies in Palestine, TX
• Providers in Palestine, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.