Joseph Scott Booker, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0014829 Issued in FL

Practice address

41 Fairpoint Dr
Suite C
Gulf Breeze, FL 32561-4396

Phone

(850) 932-4550

Fax

(850) 932-2549

NPI assigned

Jun 5, 2006

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

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1649219841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FAIRPOINT DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614380",
            "telephone_number": "850-932-4550",
            "fax_number": "850-932-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FAIRPOINT DR",
            "address_2": "SUITE C",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614396",
            "telephone_number": "850-932-4550",
            "fax_number": "850-932-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "JOSEPH",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "0014829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lauren Blanks, MSN, APRN, FNP-BC
• John Travis Blaze, PH.D.
• Ginger Christina Bogan
• Douglas E Boler, M.D.
• Joel Boles
• I. Marie Booth, D.C.
• Genei S Bougher, ARNP
• Daniel J Bourassa, DC PHD
• Traci Bourgeois, M.D.
• Brandy J. Boutin

• General Practice Dentistry in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.