Robert E Borer, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN15628 Issued in FL

Practice address

150 Sagebrush TRL
Ormond Beach, FL 32174-8102

Phone

(386) 676-0705

Fax

(386) 677-9248

NPI assigned

May 8, 2007

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 FL

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

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.

• Manne & Borer Endodontics and Microsurgery PL

  • Endodontics
  • Ormond Beach, FL
  • NPI 1063863124
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1992918767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SAGEBRUSH TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748102",
            "telephone_number": "386-676-0705",
            "fax_number": "386-677-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SAGEBRUSH TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748102",
            "telephone_number": "386-676-0705",
            "fax_number": "386-677-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORER",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN15628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Wayne Bolt III, PHARMD
• Julie Bom Conselho, ARNP
• Ramin D Bonnet, DO
• Louise Cox Booth, L.C.S.W
• Martin V Booth Jr., D.C.
• Arabella Borges
• Mimi Belinda Borkosky, RPH
• Lori Ann Bosset, OTR/L
• Kevin Bowman
• Mariya Boychev

• Endodontics in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.