Charles E Boren, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13840 Issued in TX

Practice address

5200 Cedar St
Bellaire, TX 77401-3915

Phone

(713) 655-7673

Fax

(713) 665-5114

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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 TX

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

Practice roles

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.

• Charles E Boren DDS PC

  • General Practice Dentistry
  • Bellaire, TX
  • NPI 1003639048
  NPD (past) Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700894151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CEDAR ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013915",
            "telephone_number": "713-655-7673",
            "fax_number": "713-665-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CEDAR ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013915",
            "telephone_number": "713-655-7673",
            "fax_number": "713-665-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREN",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseanne Elyse Bodin, M.A., CCC-SLP
• Yesica Bonilla
• Shelby Rhea Bonn, PA-C
• Mary L. Bonnette, OTR
• Allison Bootin
• Leila Borgstedte, ANP-BC
• Kristie B. Borne, P.A.
• Stuart Erich Boss, M.D.
• Scarlett Boulos, M.D.
• Samantha Bousigues, DDS

• General Practice Dentistry in Bellaire, TX
• Providers in Bellaire, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.