1. Home
  2. Directory
  3. Florida
  4. Bonita Springs
  5. Dentist
  6. NPI Profile

DR. EMERSON JEFFREY BOOGAARD DMD
NPI 1265091870
Dentist in Bonita Springs, FL

Active since June 07, 2019PECOS Enrolled
11380 BONITA BEACH RD SE, BONITA SPRINGS, FL 34135(239) 221-7402 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2021, Jun 7, 2019 (2 updates tracked since 2019).

About Dr. Emerson Jeffrey Boogaard Dmd NPPES

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

DR. EMERSON JEFFREY BOOGAARD DMD (NPI 1265091870) is an individual dentist in Bonita Springs, Florida, licensed in Florida (DN24215) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265091870
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. EMERSON JEFFREY BOOGAARDCredential: DMD
Location Address11380 BONITA BEACH RD SEBonita Springs, FL 34135-5905
Mailing Address3401 Lana CtFort Myers, FL 33905-5694 · (801) 857-1786
Phone(239) 221-7402
Sole ProprietorNo
Enumeration DateJune 7, 2019
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
✔ NPI 1265091870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN24215
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
11380 BONITA BEACH RD SE, Bonita Springs, FL 34135
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Montana and more.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. Emerson Jeffrey Boogaard Dmd 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 34135 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

SAGE DENTAL OF BONITA SPRINGS, PLLC
Dentist
11380 BONITA BEACH RD SE
BONITA SPRINGS, FL 34135
Lee County (561) 999-9650

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 Emerson Boogaard's NPI number?

The NPI number for Emerson Boogaard is 1265091870. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Emerson Boogaard located?

Emerson Boogaard practices at 11380 Bonita Beach Rd SE, Bonita Springs, FL 34135. The listed phone number is (239) 221-7402.

What is Emerson Boogaard's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Emerson Boogaard enrolled in Medicare?

Yes. Emerson Boogaard is registered in the Medicare PECOS enrollment system.

What insurance does Emerson Boogaard accept?

Health plans from Ambetter Health, Ambetter of Alabama, 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 Emerson Boogaard 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 Emerson Boogaard was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.