TERRY L BOELTER DDS PC (NPI# 1467582023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467582023 |
| Entity Type | Organization |
| Organization Name | TERRY L BOELTER DDS PC |
| Practice Address |
410 N Western St Sanborn IA 51248-1109 |
| Practice Telephone | 7129305550 |
| Practice Fax Number | 7129305575 |
| Mailing Telephone | 7129305550 |
| Mailing Fax Number | 7129305575 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERRY L BOELTER (OWNER) |
| Authorized Official Telephone | 7129305550 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6554 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1004648 | 05 |
| Street Address |
410 N WESTERN ST |
| City | SANBORN |
| State | IA |
| Zip Code | 51248-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568538775 | Terry Leslie Boelter | Dentist | 410 N Western St, Sanborn, IA 51248-1109 | 2006-11-28 |
| 1558908145 | C & O Dental Enterprises Plc | Clinic/Center | 410 N Western St, Sanborn, IA 51248-1109 | 2019-12-03 |
| 1538398284 | Jamie J. Gross | Dentist | 410 N Western St, Sanborn, IA 51248-1109 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770755530 | Family Health Chiropractic, P.C. | Chiropractor | 606 Carroll Street, Suite A, Sanborn, IA 51248 | 2008-04-01 |
| 1053458521 | City of Sanborn | Ambulance | 410 East First St., Sanborn, IA 51248 | 2007-01-31 |
| 1144302191 | Sanford Health Network | Clinic/Center | 321 Main St, Sanborn, IA 51248-0400 | 2006-10-19 |
| 1144364761 | Sanborn Chiropractic Clinic PC | Chiropractor | 220 Main Street, Sanborn, IA 51248-0487 | 2007-02-16 |
| 1487625018 | Rodney L Den Hartog | Chiropractor | 220 Main St, Sanborn, IA 51248-0487 | 2006-01-31 |
| 1932193059 | Prairie View | Nursing Facility/Intermediate Care Facility | 610 N Eastern St, Sanborn, IA 51248-1089 | 2005-09-02 |
| 1487715751 | Prairie View Leasing | Assisted Living Facility | 610 N Eastern St, Sanborn, IA 51248-1089 | 2006-12-12 |
| 1922271568 | Stacy Marie Carlin | Chiropractor | 606 Carroll Street, Suite A, Sanborn, IA 51248-5124 | 2008-04-03 |
| 1780982553 | Align Chiropractic PC | Chiropractor | 109 Main St, Sanborn, IA 51248-7727 | 2011-03-03 |
| 1033417803 | Melissa S Rupp | Chiropractor | 109 Main St, Sanborn, IA 51248-7727 | 2011-03-03 |
| Find all providers in zip 51248 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568538775 | Terry Leslie Boelter | Dentist | 410 N Western St, Sanborn, IA 51248-1109 | 2006-11-28 |
| 1538398284 | Jamie J. Gross | Dentist | 410 N Western St, Sanborn, IA 51248-1109 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
| 1295343804 | Gabrielle Genevieve Henry | Dentist | 401 Haganman Ln, Solon, IA 52333-9760 | 2020-07-20 |
| 1942827811 | Kalona Family Dental, Plc | Dentist | 1206 E Ave, Kalona, IA 52247-9767 | 2020-06-26 |
| 1245856582 | Reena Patel | Dentist | 401 S Gear Ave Ste 101, West Burlington, IA 52655-1067 | 2020-06-23 |
| 1679199574 | Flora Yu Harn Yen | Dentist | 3602 Ne Otterview Cir, Ankeny, IA 50021-7773 | 2020-06-17 |
| 1679198030 | Colin Earl Odland | Dentist | 1089 Jordan Creek Pkwy Ste 100, West Des Moines, IA 50266-5829 | 2020-06-11 |
| 1124653860 | Chase Frei | Dentist | 2615 S Center St, Marshalltown, IA 50158-4501 | 2020-03-03 |
| 1649828344 | Stephanie Jo Heyland | Dentist | 4723 Avenue J, Fort Madison, IA 52627-9511 | 2019-08-27 |
| 1952958167 | Skyline Dental Services, LLC | Dentist | 2180 W Kimberly Rd # 8, Davenport, IA 52806-5368 | 2019-08-22 |
| 1386296671 | Dillon Wesley Schloerb | Dentist | 1606 Golden Aspen Dr Ste 110, Ames, IA 50010-8011 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
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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.