Organization Active NPI

Boerne Dental Center

  • Exclusive Provider Organization
  • Boerne, TX
National Provider Identifier
1558526129
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
15320 Issued in TX
Legal business name
BOERNE DENTAL CENTER
Practice address
32350 Interstate 10 W
Boerne, TX 78006-9214
Phone
(830) 249-2045
Fax
(830) 249-6076
NPI assigned
Jul 23, 2008
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
YESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Ms. Janelle Marks
Title
Front Office
Phone
(830) 249-2045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 15320 TX Primary

Addresses

Primary practice location

32350 Interstate 10 W
Boerne, TX 78006-9214

Mailing address

32350 Interstate 10 W
Boerne, TX 78006-9214
Phone (830) 249-2045

National Provider Directory

National Provider Directory
Part of
Boerne Dental Center

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1558526129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32350 INTERSTATE 10 W",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069214",
            "telephone_number": "830-249-2045",
            "fax_number": "830-249-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32350 INTERSTATE 10 W",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069214",
            "telephone_number": "830-249-2045",
            "fax_number": "830-249-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE DENTAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "830-249-2045",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "15320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.