NPIMap

Organization Active NPI

David E. Boaz DDS

  • Dentist
  • Chapel Hill, NC
National Provider Identifier
1871775429
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4879 Issued in NC
Legal business name
DAVID E. BOAZ DDS
Practice address
891 Willow Dr Ste 5
Chapel Hill, NC 27514-7077
Phone
(919) 942-7550
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Mr. David E BoazNPI 1780733949
Title
Owner
Phone
(919) 942-7550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4879 NC Primary

Addresses

Primary practice location

891 Willow Dr Ste 5
Chapel Hill, NC 27514-7077

Mailing address

891 Willow Dr Ste 5
Chapel Hill, NC 27514-7077
Phone (919) 942-7550

National Provider Directory

National Provider Directory

Locations

891 Willow Dr
Ste 5
Chapel Hill, NC 27514
Phone (919) 942-7550

Practitioners & affiliated clinicians

Practitioners 1

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": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1871775429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 WILLOW DR STE 5",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147077",
            "telephone_number": "919-942-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 WILLOW DR STE 5",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147077",
            "telephone_number": "919-942-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E. BOAZ DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "BOAZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-942-7550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "4879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.