Gary Wayne Boling, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12299 Issued in TN

Practice address

228 Hamilton Crossing Dr
Alcoa, TN 37701-2262

Phone

(714) 357-5353

NPI assigned

May 8, 2007

Last updated

May 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tracy Nicole DDS a Professional Dental Corporation

  • Dentist
  • Laguna Beach, CA
  • NPI 1306950340
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1487867990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 COBBLE WAY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378033071",
            "telephone_number": "714-357-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 HAMILTON CROSSING DR",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012262",
            "telephone_number": "714-357-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLING",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA23480",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "12299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blount Memorial Occupational Health
• Blount Memorial Physician Group, Inc
• Blount Pain Consultants LLC
• Christopher A Bolling
• Robert William Booher, M.D.
• Kristin Joy Bookwalter, BA
• Megan Keller Boring, RN MSN APRN-BC
• Satana Boyd, CCMA

• General Practice Dentistry in Alcoa, TN
• Providers in Alcoa, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.