Russell Robert Boone, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

TX14152 Issued in TX

Practice address

221 East Edgewood
Friendswood, TX 77546-3820

Phone

(281) 482-3331

Fax

(281) 482-7681

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 TX

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Les Dents

  • Dentist
  • Pearland, TX
  • NPI 1649055682
  NPD (past)
• Smile Verse Clinic PLLC

  • General Practice Dentistry
  • Friendswood, TX
  • NPI 1891543021
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902917172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 EAST EDGEWOOD",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463820",
            "telephone_number": "281-482-3331",
            "fax_number": "281-482-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 EAST EDGEWOOD",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463820",
            "telephone_number": "281-482-3331",
            "fax_number": "281-482-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "RUSSELL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "TX14152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Ann Bohannon Gerke, RN
• Kerry Bohannon, MED, MBA, LPC-A
• Katelyn Genese Nikkole Bolton
• Josephine Carol Boone, M.D.
• Rhonda Jo Boone, DC
• Destiny Bormann
• Crystal Bowman, MACMHC, LPC-A
• Donald Bradley, LPC
• Bryan Wilson Brannon
• Kristie Lowe Bratcher, ACNP

• Dentist in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.