NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Boones Creek Dentistry

General Practice Dentistry in Johnson City, TN · enumerated 2023 · authorized official Melissa Andrews, Administrative Assistant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124726724

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Boones Creek Dentistry
Practice address 4328 N Roan St, Johnson City, TN, 37615
Enumeration date Feb 22, 2023
Last updated in NPPES Feb 22, 2023

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Melissa Andrews
Title Administrative Assistant

Other identifiers

Identifier Type State Issuer
1255828356 Other TN DENTAL
1326185471 Other TN DENTAL
1568812691 Other TN DENTAL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Boones Creek Dentistry?
Boones Creek Dentistry is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-22.