Jay E Boatwright III, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN14828 Issued in FL

Practice address

914 Royce St
Pensacola, FL 32503-2464

Phone

(850) 476-8180

Fax

(850) 476-1120

NPI assigned

Mar 5, 2009

Sex

Male

Sole proprietor

No

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 FL

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

State licenses

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1821238742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 ROYCE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032464",
            "telephone_number": "850-476-8180",
            "fax_number": "850-476-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 ROYCE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032464",
            "telephone_number": "850-476-8180",
            "fax_number": "850-476-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATWRIGHT",
        "first_name": "JAY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN14828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcy Suzanne Blum, LAT, ATC
• BMR Anesthesia PLLC
• Joseph Boarts, LMHC
• Emily Burkhalter Boatner, M. ED., BCBA
• Mark S Boatright, MD
• Lauren Bobe, FNP-BC
• Myrna Bobet, M.D.
• Theresa Lynn Bobrow
• Yvonne Renee Bocanegra, M.S.
• John M Boden, M.D.

• Prosthodontics in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.