Individual provider Active NPI

Virginia E. Dooley, D.M.D.

  • General Practice Dentistry
  • Boonville, MO
National Provider Identifier
1811944929
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
015202 Issued in MO
Practice address
1480 W Ashley Rd
Boonville, MO 65233-2141
Phone
(660) 882-7522
Fax
(660) 882-9022
NPI assigned
May 27, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 015202 MO Primary

Addresses

Primary practice location

1480 W Ashley Rd
Boonville, MO 65233-2141

Mailing address

1480 W Ashley Rd
Boonville, MO 65233-2141
Phone (660) 882-7522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220302002188 MO Order and Referring Only - DentistPractitioner - Dentist 4284028564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015202MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph T Kelly, DDS PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: virginia.dooley.p1@direct.chccmo.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811944929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 W ASHLEY RD",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332141",
            "telephone_number": "660-882-7522",
            "fax_number": "660-882-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 W ASHLEY RD",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332141",
            "telephone_number": "660-882-7522",
            "fax_number": "660-882-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "VIRGINIA",
        "middle_name": "E.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonville, MO

Sources for this page

Verify at the official NPI Registry.