Organization Active NPI

DRS. Boes, Baky, Cameron & Associates of Green Level, PLLC

  • Dentist
  • Apex, NC
National Provider Identifier
1851961429
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DRS. BOES, BAKY, CAMERON & ASSOCIATES OF GREEN LEVEL, PLLC
Doing business as
Triangle Family Dentistry
Practice address
3651 Green Level West Rd. Suite 202
Apex, NC 27523
Phone
(919) 377-9797
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Chad Hendricks
Title
Credentialing Manager
Phone
(612) 859-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3651 Green Level West Rd. Suite 202
Apex, NC 27523

Mailing address

3651 Green Level West Rd. Suite 202
Apex, NC 27523

Other names 1

  • Triangle Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3651 Green Level West Rd
Ste 202
Apex, NC 27523
Phone (919) 377-9797

Practitioners & affiliated clinicians

Practitioners 2

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": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1851961429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 GREEN LEVEL WEST RD. SUITE 202",
            "city": "APEX",
            "state": "NC",
            "postal_code": "27523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 GREEN LEVEL WEST RD. SUITE 202",
            "city": "APEX",
            "state": "NC",
            "postal_code": "27523",
            "telephone_number": "919-377-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. BOES, BAKY, CAMERON & ASSOCIATES OF GREEN LEVEL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.