BOONYAPA PURT DMD
NPI 1609281997
Dentist - Oral and Maxillofacial Surgery in Mcminnville, OR

Active since June 25, 2014PECOS Enrolled
1046 NE 3RD ST, MCMINNVILLE, OR 97128(503) 472-1468 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 10, 2022, Oct 16, 2019 (2 updates tracked since 2019).

About Boonyapa Purt Dmd NPPES

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

BOONYAPA PURT DMD (NPI 1609281997) is an individual oral and maxillofacial surgery provider in Mcminnville, Oregon, licensed in Oregon (D10055) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609281997
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameBOONYAPA PURTCredential: DMD
Location Address1046 NE 3RD STMcminnville, OR 97128-4418
Mailing Address1046 Ne 3rd StMcminnville, OR 97128-4418
Sole ProprietorNo
Enumeration DateJune 25, 2014
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
NPI 1609281997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in OR · D10055
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1046 NE 3RD ST, Mcminnville, OR 97128

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)

Boonyapa Purt 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 97128 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Dentist (Oral and Maxillofacial Surgery)
1046 NE 3RD ST
MCMINNVILLE, OR 97128
Dentist (Oral and Maxillofacial Surgery)
1046 NE 3RD ST
MCMINNVILLE, OR 97128
Oral & Maxillofacial Surgery
1046 NE 3RD ST
MCMINNVILLE, OR 97128

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 Boonyapa Purt's NPI number?

The NPI number for Boonyapa Purt is 1609281997. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Boonyapa Purt located?

Boonyapa Purt practices at 1046 NE 3rd St, Mcminnville, OR 97128. The listed phone number is (503) 472-1468.

What is Boonyapa Purt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Boonyapa Purt enrolled in Medicare?

Yes. Boonyapa Purt is registered in the Medicare PECOS enrollment system.

What insurance does Boonyapa Purt accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 5 other insurers list Boonyapa Purt 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 Boonyapa Purt was last updated on August 10, 2022. 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.