Amir Boules, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN 21457 Issued in FL

Practice address

10427 Ulmerton Rd
Suite B-3
Largo, FL 33771-3530

Phone

(727) 535-9993

NPI assigned

Jul 20, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Coast Florida P.a.

  • Dentist
  • Largo, FL
  • NPI 1508432923
  NPD (past)
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1497139406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10427 ULMERTON RD",
            "address_2": "SUITE B-3",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713530",
            "telephone_number": "727-535-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10427 ULMERTON RD",
            "address_2": "SUITE B-3",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713530",
            "telephone_number": "727-535-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULES",
        "first_name": "AMIR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose D Borrego, RPH
• Maxine Pittaway Bosko, MSN, RN, FNP-C
• William Earl Boswell III
• Jennifer Botelho, LMHC
• Raoul Rudolph Botha, MD
• Gerard E Boutin, PH.D
• Ronald E. Bowers, M.D.
• Sharon Bowie
• Alicia Bowles
• Lucas Bowling, ARNP

• Dentist in Largo, FL
• Providers in Largo, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.

Verify at the official NPI Registry.