Individual provider Active NPI

Alison Boone, DDS

  • General Practice Dentistry
  • Elizabeth City, NC
National Provider Identifier
1568423713
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7863 Issued in NC
Practice address
101 Mill End CT Ste a
Elizabeth City, NC 27909-8987
Phone
(252) 331-2050
Fax
(252) 335-2052
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7863 NC
General Practice Dentistry 1223G0001X 7863 NC Primary

Addresses

Primary practice location

101 Mill End CT Ste a
Elizabeth City, NC 27909-8987

Mailing address

101 Mill End CT Ste a
Elizabeth City, NC 27909-8987
Phone (252) 331-2050

Other identifiers 1

IdentifierTypeStateIssuer
5902573MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20150511001068 NC Order and Referring Only - DentistPractitioner - Dentist 4587983762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7863NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alison L. Boone, DDS Dentist CurrentSince Mar 21, 2021 Accepting new patients

Locations

101 Mill End Ct
Ste A
Elizabeth City, NC 27909
Phone (252) 331-2050

905 Halstead Blvd
Ste 4
Elizabeth City, NC 27909

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1568423713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MILL END CT STE A",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098987",
            "telephone_number": "252-331-2050",
            "fax_number": "252-335-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILL END CT STE A",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098987",
            "telephone_number": "252-331-2050",
            "fax_number": "252-335-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7863",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902573",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.