JIMMY CARROLL BOLEY (NPI# 1396154936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396154936 |
| Entity Type | Individual |
| Full Name | JIMMY CARROLL BOLEY |
| Credential | D.D.S., M.S. |
| Practice Address |
1106 High Vista Ln Richardson TX 75080-1520 |
| Practice Telephone | 9728080221 |
| Mailing Telephone | 9728080221 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7425 | TX | Dental Providers |
| Street Address |
1106 HIGH VISTA LN |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333837 | Rodney P Lewis Dds Ms Pa | Dentist | 100 N Central Expy Ste 1107, Richardson, TX 75080-5542 | 2019-12-19 |
| 1548814940 | Shen Orthodontics Pllc | Dentist | 1231 E Belt Line Rd Ste 101, Richardson, TX 75081-3747 | 2019-07-24 |
| 1609320969 | Cdc Orthodontics Richardson Pllc | Dentist | 4140 E Renner Rd, 400, Richardson, TX 75082-2806 | 2016-08-04 |
| 1184059123 | Brackets Dental Pllc | Dentist | 800 N Coit Rd, Suite 2550, Richardson, TX 75080-5458 | 2013-09-10 |
| 1053756858 | Renner Children's Dentistry and Orthodontics | Dentist | 3610 Shire Blvd Ste 110, Richardson, TX 75082-2239 | 2013-05-07 |
| 1093833824 | Kevin O Coles | Dentist | 2137 Buckingham Rd, Richardson, TX 75081-5477 | 2007-03-27 |
| 1093827693 | Gregory Thomas Cohlmia | Dentist | 1231 E Belt Line Rd, Suite 101, Richardson, TX 75081-3748 | 2006-08-31 |
| 1174502736 | Rodney Paul Lewis | Dentist | 1001 Buckingham Rd, Suite 200, Richardson, TX 75081-5850 | 2006-01-12 |
| 1861898637 | Wylie Orthodontic Specialists | Dentist | 100 N Central Expy, #1107, Richardson, TX 75080-5332 | 2014-11-06 |
| 1467571000 | Robert C. Packard | Dentist | 2137 Buckingham Rd, Richardson, TX 75081-5477 | 2007-03-28 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.