Individual provider Active NPI

Evan Victoria Boland, DMD

  • Dentist
  • Richmond, VA
National Provider Identifier
1891582649
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401419526 Issued in VA
Practice address
24 E Cary St
Richmond, VA 23219-3733
Phone
(804) 783-2505
NPI assigned
Apr 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401419526 VA Primary

Addresses

Primary practice location

24 E Cary St
Richmond, VA 23219-3733

Mailing address

6109 Bremo Rd
Richmond, VA 23226-2507
Phone (770) 826-5415

Other practice location 1

517 W Grace St
Richmond, VA 23220-4911
Phone (804) 783-2505 ext. 30678

Other practice location 2

241 Charles H Dimmock Pkwy Ste 2
Colonial Heights, VA 23834-2915
Phone (804) 520-0699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250722000131 VA Order and Referring Only - DentistPractitioner - Dentist 3577079110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401419526VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Daily Planet Inc Past Accepting new patients
Dentistry by Design Colonial Heights PLLC PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1891582649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 BREMO RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262507",
            "telephone_number": "770-826-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E CARY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193733",
            "telephone_number": "804-783-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 W Grace St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232204911",
            "country_code": "US",
            "telephone_number": "804-783-2505 x30678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 Charles H Dimmock Pkwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342915",
            "country_code": "US",
            "telephone_number": "804-520-0699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "EVAN",
        "middle_name": "VICTORIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401419526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.