JAKE BOONE
NPI 1649914938
Dentist - Orthodontics and Dentofacial Orthopedics in Bethany, OK

Active since April 23, 2022PECOS Enrolled
7221 NW 23RD ST UNIT C-D, BETHANY, OK 73008(405) 367-8147 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 12, 2026, Dec 22, 2025, Jul 7, 2022 and 1 more (4 updates tracked since 2022).

About Jake Boone NPPES

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

JAKE BOONE (NPI 1649914938) is an individual orthodontics and dentofacial orthopedics provider in Bethany, Oklahoma, licensed in Oklahoma (7560) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ada, and is a graduate of University Of Nevada, Las Vegas School Of Medicine (2025).

NPPES Registry Identity

NPI1649914938
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameJAKE BOONE
Location Address7221 NW 23RD ST UNIT C-DBethany, OK 73008-5131
Mailing Address301 W Kings RdAda, OK 74820-8219
Sole ProprietorNo
Medical School CMSUniversity Of Nevada, Las Vegas School Of MedicineGraduated 2025
Enumeration DateApril 23, 2022
Last NPPES UpdateFebruary 19, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
NPI 1649914938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in OK · 7560
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

7221 NW 23RD ST UNIT C-D, Bethany, OK 73008

Secondary Practice Location 1

Location 1304 N Monte Vista StAda, OK 74820-4607 · Phone (580) 436-5111 · Fax (580) 925-9149

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)

Jake Boone is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537646872
PECOS Enrollment IDI20260116003563
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 73008 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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

The NPI number assigned to this healthcare provider is 1649914938, enumerated as an "individual" on April 23, 2022.

The provider is located at 7221 NW 23RD ST UNIT C-D BETHANY, OK 73008 and the phone number is (405) 367-8147.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.