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DR. TERRY LESLIE BOELTER D.D.S.
NPI 1568538775
Dentist - General Practice in Sanborn, IA

Active since November 28, 2006PECOS Enrolled
410 N WESTERN ST, SANBORN, IA 51248(712) 930-5550(712) 930-5575 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Terry Leslie Boelter D.d.s. NPPES

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

DR. TERRY LESLIE BOELTER D.D.S. (NPI 1568538775) is an individual general practice provider in Sanborn, Iowa, licensed in Iowa (6554) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568538775
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TERRY LESLIE BOELTERCredential: D.D.S.
Location Address410 N WESTERN STSanborn, IA 51248-1109
Mailing Address410 N Western StSanborn, IA 51248-1109 · (712) 930-5550 · Fax (712) 930-5575
Phone(712) 930-5550
Fax(712) 930-5575
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1568538775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 6554
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.
410 N WESTERN ST, Sanborn, IA 51248
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Other Identifiers 1

Medicaid1004648IA

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. Terry Leslie Boelter D.d.s. 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 51248 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 3

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

TERRY L BOELTER DDS PC
Dentist (General Practice)
410 N WESTERN ST
SANBORN, IA 51248
O'Brien County (712) 930-5550
DR. JAMIE J. GROSS D.D.S.
Dentist (General Practice)
410 N WESTERN ST
SANBORN, IA 51248
O'Brien County (712) 930-5550
C & O DENTAL ENTERPRISES PLC
Clinic/Center (Dental)
410 N WESTERN ST
SANBORN, IA 51248
O'Brien County (712) 930-5550

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 Terry Boelter's NPI number?

The NPI number for Terry Boelter is 1568538775. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Terry Boelter located?

Terry Boelter practices at 410 N Western St, Sanborn, IA 51248. The listed phone number is (712) 930-5550.

What is Terry Boelter's specialty?

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

Is Terry Boelter enrolled in Medicare?

Yes. Terry Boelter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Terry Boelter was last updated on July 9, 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.