Abraham Humphrey Boadi, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

018842 Issued in OH

Practice address

36 S Byrne Rd
Toledo, OH 43615-6211

Phone

(419) 534-2479

Fax

(419) 534-3260

NPI assigned

Sep 16, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Practice roles

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

• Cosmetic & Family Dental Studios, LLC

  • General Practice Dentistry
  • Toledo, OH
  • NPI 1124090097
  NPD (past) Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1881790715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 S BYRNE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156211",
            "telephone_number": "419-534-2479",
            "fax_number": "419-534-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 S BYRNE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156211",
            "telephone_number": "419-534-2479",
            "fax_number": "419-534-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOADI",
        "first_name": "ABRAHAM",
        "middle_name": "HUMPHREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "018842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HELTHCARE",
            "identifier": "01541",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "432095956",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0719486",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluestar Personal and Transportation Services LLC
• Benjamin Bluitt, LCDCII
• Lester I Bluth, MD
• Danielle Ann Bly Brack, M.D.
• Donna Blythewood, QBHS
• Joyce Anim Boateng, RN BSN
• Marquita Elaine Bobbitt, QMHS
• Gail E Bocian, C.N.M.
• Mirela Alina Bocicor
• Theodore Bock

• General Practice Dentistry in Toledo, OH
• Providers in Toledo, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.