DR. THOMAS MICHAEL BOONE (NPI# 1124042460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124042460 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MICHAEL BOONE |
| Credential | D.D.S. |
| Practice Address |
11702 Beach Blvd Stanton CA 90680-3609 |
| Mailing Address |
Po Box 1543 Sunset Beach CA 90742-1543 |
| Practice Telephone | 7148985600 |
| Practice Fax Number | 8005359941 |
| Mailing Telephone | 7146069194 |
| Mailing Fax Number | 3103279146 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
34661 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346437142 | Thomas Lee Boone | Optometrist | 2910 Grant Line Road, New Albany, IN 47150-2456 | 2007-09-26 |
| 1346325750 | Thomas John Boone | Family Medicine | 410 E King Street, Chewelah, WA 99109-0137 | 2006-10-25 |
| 1811077522 | Thomas Rawling Boone Jr. | Counselor | 214 N. Curran Ave., Suite E-1, Picayune, MS 39466-4002 | 2006-10-17 |
| 1699188672 | Thomas Boone | Emergency Medicine | 2401 W University Ave, Muncie, IN 47303-3428 | 2014-06-06 |
| 1851656979 | Thomas Edward Boone Jr. | Pharmacist | 115 S Airline Hwy, Gonzales, LA 70737-3633 | 2012-07-05 |
| 1215091806 | Thomas William Boone | Social Worker | 2008 Morse Ave, Sacramento, CA 95825-2135 | 2006-12-20 |
| Street Address |
11702 BEACH BLVD |
| City | STANTON |
| State | CA |
| Zip Code | 90680-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215445101 | Susan Jo | Dentist | 11702 Beach Blvd, Stanton, CA 90680-3609 | 2018-01-14 |
| 1104348150 | Oc Dental Specialists | Dentist | 11702 Beach Blvd, Stanton, CA 90680-3609 | 2017-07-12 |
| 1730458712 | Farzaneh Hanitabatabaei | Dentist | 11702 Beach Blvd, Stanton, CA 90680-3609 | 2011-12-21 |
| 1669701777 | Sonia Jooyoung Lee | Dentist | 11702 Beach Blvd, Stanton, CA 90680-3609 | 2009-12-18 |
| 1225239585 | Thuy T Fortier | Dentist | 11702 Beach Blvd, Stanton, CA 90680-3609 | 2007-05-31 |
| 1013118371 | Kevin J Fortier | Dentist | 11702 Beach Blvd, Stanton, CA 90680-3609 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962978429 | Mountain View Hospice | Hospice Care, Community Based | 12235 Beach Blvd., Suite 205c, Stanton, CA 90680 | 2018-10-22 |
| 1073983250 | Jennifer Van | Dental Hygienist | 10882 Cedar Street, Stanton, CA 90680 | 2015-10-01 |
| 1780097915 | Chris G Kim | Acupuncturist | 7731 Katella Ave #b, Stanton, CA 90680 | 2014-06-05 |
| 1982035069 | San Blas Medical Clinic | General Practice | 7777 Katella Avenue, Stanton, CA 90680 | 2013-11-27 |
| 1487969861 | Dean Tran, D.o., Inc | Clinic/Center | 11418 1/2 Renaissance Way, Stanton, CA 90680 | 2010-08-10 |
| 1255562229 | Ability Center | Durable Medical Equipment & Medical Supplies | 11600 Western Ave, Stanton, CA 90680 | 2009-08-07 |
| 1235369786 | Diem-trinh Maria Nguyen | Dentist | 532 E Chapman, Orange, CA 90680 | 2009-07-17 |
| 1932315959 | Esther L Sy | Dentist | 10468 Beach Boulevard, Stanton, CA 90680 | 2007-05-15 |
| 1255409694 | Minh Duc Nguyen | Dentist | 12880 Beach Blvd, Stuite Aa, Stanton, CA 90680 | 2006-12-02 |
| 1780750612 | Go Diagnostics Inc | Specialist/Technologist, Other | 7159 Katella Ave, Stanton, CA 90680 | 2006-11-24 |
| Find all providers in zip 90680 | ||||
| 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 |
|---|---|---|---|---|
| 1881292514 | Miriam Herrera Salgado | Dentist | 10232 Macduff St, Stanton, CA 90680-1822 | 2020-10-14 |
| 1679875728 | Thomas An | Dentist | 7149 Katella Ave, Stanton, CA 90680-2806 | 2010-11-23 |
| 1043365059 | Dorothy Wenyi Chao | Dentist | 7757 Katella Ave, Suite D, Stanton, CA 90680-4901 | 2007-01-23 |
| 1982754016 | Kurtis Kanemaru | Dentist | 7092 Katella Ave, Stanton, CA 90680-2805 | 2007-01-11 |
| 1922157494 | Robert James Saukas | Dentist | 697 S State St, Suite #a, Stanton, MI 48888-8981 | 2007-01-10 |
| 1871660670 | Amir Sadjadi | Dentist | 11001 Beach Blvd, Stanton, CA 90680-3216 | 2006-11-29 |
| 1093882029 | Kimberly Nguyen | Dentist | 11352 Renaissance Way, Suite 1/2, Stanton, CA 90680-3066 | 2006-11-28 |
| 1619041001 | Mun Nga Tran | Dentist | 10342 Beach Blvd, Stanton, CA 90680-1607 | 2006-11-20 |
| 1659440428 | David Lee Dockham | Dentist | 800 North State Rd, Stanton, MI 48888 | 2006-11-07 |
| 1235229337 | Jaydeep Shashikumar Talim | Dentist | 12793 Beach Blvd, Stanton, CA 90680-4003 | 2006-10-13 |
| Find all providers in STANTON | ||||
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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.