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: August 30, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Boone's NPI number?

The NPI number for Jake Boone is 1649914938. It was assigned to this individual provider in the NPPES registry on April 23, 2022.

Where is Jake Boone located?

Jake Boone practices at 7221 NW 23rd St Unit C-D, Bethany, OK 73008. The listed phone number is (405) 367-8147.

What is Jake Boone's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Jake Boone enrolled in Medicare?

Yes. Jake Boone is registered in the Medicare PECOS enrollment system.

What insurance does Jake Boone accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jake Boone 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 Jake Boone was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.