Active NPI
Joseph Marc Boggs, DMD
- Dentist
- Granite Falls, NC
National Provider Identifier
1679092852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10847
- Practice address
- 4283 Hickory Blvd.
Granite Falls, NC 28630-2863 - Phone
- (828) 514-9281
- Fax
- (828) 514-9281
- NPI assigned
- Sep 19, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10847 | NC | Primary |
Addresses
Primary practice location
4283 Hickory Blvd.
Granite Falls, NC 28630-2863
Mailing address
834 4TH Ave. NW
Hickroy, NC 28601
Phone (803) 667-1894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10847 | Other | NC |
Other names 1
- Dr. Joseph Marc Boggs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10847 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1679092852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 4TH AVE. NW",
"city": "HICKROY",
"state": "NC",
"postal_code": "28601",
"telephone_number": "803-667-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4283 HICKORY BLVD.",
"city": "GRANITE FALLS",
"state": "NC",
"postal_code": "286302863",
"telephone_number": "828-514-9281",
"fax_number": "828-514-9281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGS",
"first_name": "JOSEPH",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": null,
"identifier": "10847",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOSEPH",
"last_name": "BOGGS",
"middle_name": "MARC",
"prefix": "DR.",
"credential": "DR. JOSEPH BOGGS,DMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Granite Falls, NC
- Stacy Biggs, MSW, LCSW
- Blue Ridge Counseling Associates
- Blue Ridge Healthcare Medical Group, Inc. (Granite Falls Family Medical Center)
- Blue Ridge Transit LLC
- James Boxley Boggs, D.D.S.
- Cliniece Vaught Bradshaw, COTAL
- Breathe Wellness Counseling PLLC
- Breathe Wellness Counseling PLLC
- Breathe Wellness Counseling PLLC
- Edward James Bujold, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.