BOONYAPA PURT DMD
NPI 1609281997
Dentist - Oral and Maxillofacial Surgery in Mcminnville, OR
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 has opted out of Medicare through August 18, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Boonyapa Purt Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 18, 2022 through August 18, 2026.
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.
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.
MCMINNVILLE, OR 97128
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?
No. Boonyapa Purt has opted out of Medicare through August 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
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.
# Boonyapa Purt, DMD · NPI 1609281997
Oral and Maxillofacial Surgery provider in Mcminnville, Oregon. Individual provider, active in the CMS NPPES registry since June 25, 2014.
## Identity
- **NPI:** 1609281997 (Entity type: Individual)
- **Enumerated:** June 25, 2014
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** D10055 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1046 NE 3RD ST, Mcminnville, OR 97128-4418
- **Phone:** (503) 472-1468
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 18, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** August 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1609281997) · Data from the CMS NPPES public registry.