Jaime L Boyer, D.D.S.
Individual provider Active NPI General Practice Dentistry · Manistee, MI
NPI 1972905958 · NPPES record last updated Mar 23, 2016
Key facts
- NPI
- 1972905958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901021211 (MI)
- Practice address
- 316 8TH St
Manistee, MI 49660-2170 - Phone
- (231) 723-4141
- Fax
- (231) 723-4146
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170127000560 | MI | Order and Referring Only - Dentist |
1052693041 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901021211 | MI | Yes |
Addresses
Primary practice location
316 8TH St
Manistee, MI 49660-2170
Mailing address
316 8TH St
Manistee, MI 49660-2170
Phone (231) 723-4141
NPI Registry JSON
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1972905958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 8TH ST",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496602170",
"telephone_number": "231-723-4141",
"fax_number": "231-723-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 8TH ST",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496602170",
"telephone_number": "231-723-4141",
"fax_number": "231-723-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "JAIME",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901021211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manistee, MI
- Fritz R Boehm
- Heidi L Boehm
- Stacey Bonecutter
- Kenneth Albert Borenitsch
- April May Bovee
- Summer L Brave Bull
- Brian J McComb DO PLLC
- Sonya Broadbent
- Laura Burget
- Kayla Lee Bussey
All providers in Manistee, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.