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DR. EDWIN L BOOTH JR. DDS
NPI 1437240793
Dentist - General Practice in Greensboro, NC

Active since September 28, 2006PECOS Enrolled
2100 W. CORNWALLIS DR., SUITE Q, GREENSBORO, NC 27408(336) 282-3400(336) 282-3292 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edwin L Booth Jr. Dds NPPES

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

DR. EDWIN L BOOTH JR. DDS (NPI 1437240793) is an individual general practice provider in Greensboro, North Carolina, licensed in North Carolina (4880) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437240793
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EDWIN L BOOTH JR.Credential: DDS
Location Address2100 W. CORNWALLIS DR., SUITE QGreensboro, NC 27408
Mailing Address2100 W. Cornwallis Dr., Suite QGreensboro, NC 27408 · (336) 282-3400 · Fax (336) 282-3292
Phone(336) 282-3400
Fax(336) 282-3292
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437240793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 4880
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.
2100 W. CORNWALLIS DR., Greensboro, NC 27408
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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. Edwin L Booth Jr. 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 27408 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Edwin Booth's NPI number?

The NPI number for Edwin Booth is 1437240793. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Edwin Booth located?

Edwin Booth practices at 2100 W. Cornwallis Dr. Suite Q, Greensboro, NC 27408. The listed phone number is (336) 282-3400.

What is Edwin Booth's specialty?

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

Is Edwin Booth enrolled in Medicare?

Yes. Edwin Booth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edwin Booth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.