DR. JULIE ELAINE BOULOS DDS
NPI 1144452855
Dentist - General Practice in San Diego, CA

Active since August 13, 2009PECOS Enrolled
2180 GARNET AVE STE 1K, SAN DIEGO, CA 92109(858) 270-4904(858) 270-4275 Get Directions Write a Review

NPPES record last updated: January 17, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Julie Elaine Boulos Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JULIE ELAINE BOULOS DDS (NPI 1144452855) is an individual general practice provider in San Diego, California, licensed in California (59287) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144452855
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JULIE ELAINE BOULOSCredential: DDS
Location Address2180 GARNET AVE STE 1KSan Diego, CA 92109-3674
Mailing Address2180 Garnet Ave Ste 1kSan Diego, CA 92109-3674 · (858) 270-4904 · Fax (858) 270-4275
Fax(858) 270-4275
Sole ProprietorYes
Enumeration DateAugust 13, 2009
Last NPPES UpdateJanuary 17, 2011
NPI 1144452855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 59287
Definition
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.
2180 GARNET AVE STE 1K, San Diego, CA 92109

Other Names 1

Former Name (1)Julie E Hagar D.d.s.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Julie Elaine Boulos Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2180 GARNET AVE STE 1K
SAN DIEGO, CA 92109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Boulos's NPI number?

The NPI number for Julie Boulos is 1144452855. It was assigned to this individual provider in the NPPES registry on August 13, 2009. The provider is also known as Julie E Hagar D.D.S..

Where is Julie Boulos located?

Julie Boulos practices at 2180 Garnet Ave Ste 1K, San Diego, CA 92109. The listed phone number is (858) 270-4904.

What is Julie Boulos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Julie Boulos enrolled in Medicare?

Yes. Julie Boulos is registered in the Medicare PECOS enrollment system.

What insurance does Julie Boulos accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Julie Boulos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Julie Boulos was last updated on January 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.