Individual provider Active NPI

Barb Boeding, D.D.S.

  • Dentist
  • New Hampton, IA
National Provider Identifier
1801800131
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
07307 Issued in IA
Practice address
321 E Main St
New Hampton, IA 50659-1455
Phone
(641) 394-3016
Fax
(641) 394-4819
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 07307 IA Primary

Addresses

Primary practice location

321 E Main St
New Hampton, IA 50659-1455

Mailing address

321 E Main St
New Hampton, IA 50659-1455
Phone (641) 394-3016

Other identifiers 3

IdentifierTypeStateIssuer
26352OtherIABLUE CROSS BLUE SHIELD
1048082MedicaidIA
835364OtherIAUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20150813010142 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325353881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07307IAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801800131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E MAIN ST",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506591455",
            "telephone_number": "641-394-3016",
            "fax_number": "641-394-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E MAIN ST",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506591455",
            "telephone_number": "641-394-3016",
            "fax_number": "641-394-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEDING",
        "first_name": "BARB",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "07307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26352",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1048082",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "835364",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hampton, IA

Sources for this page

Verify at the official NPI Registry.