Individual provider Active NPI

Roberta Nadeau Boatright, D.D.S.

  • Dentist
  • Hope Valley, RI
National Provider Identifier
1770738858
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DENO2265 Issued in RI
Practice address
823 Main St
Hope Valley, RI 02832-1920
Phone
(401) 539-2461
Fax
(401) 539-2663
NPI assigned
Nov 17, 2008
Last updated
Nov 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DENO2265 RI Primary

Addresses

Primary practice location

823 Main St
Hope Valley, RI 02832-1920

Mailing address

823 Main St
Hope Valley, RI 02832-1920
Phone (401) 539-2461

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DENO2265RIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1770738858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 MAIN ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028321920",
            "telephone_number": "401-539-2461",
            "fax_number": "401-539-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 MAIN ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028321920",
            "telephone_number": "401-539-2461",
            "fax_number": "401-539-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATRIGHT",
        "first_name": "ROBERTA",
        "middle_name": "NADEAU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DENO2265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope Valley, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.