NPIMap

Organization Active NPI

Christopher J Bouldin DDS

  • Dentist
  • Durham, NC
National Provider Identifier
1710189584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
NC5266 Issued in NC
Legal business name
CHRISTOPHER J BOULDIN DDS
Practice address
1920 East Highway 54
Suite 570
Durham, NC 27713-2263
Phone
(919) 544-3723
Fax
(919) 484-8076
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christopher James Bouldin, DDSNPI 1285665216
Title
Owner
Phone
(919) 544-3723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X NC5266 NC Primary

Addresses

Primary practice location

1920 East Highway 54
Suite 570
Durham, NC 27713-2263

Mailing address

1920 East Highway 54
Suite 570
Durham, NC 27713-2263
Phone (919) 544-3723

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710189584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 EAST HIGHWAY 54",
            "address_2": "SUITE 570",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132263",
            "telephone_number": "919-544-3723",
            "fax_number": "919-484-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 EAST HIGHWAY 54",
            "address_2": "SUITE 570",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132263",
            "telephone_number": "919-544-3723",
            "fax_number": "919-484-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER J BOULDIN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOULDIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-544-3723",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "NC5266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.