DR. BEAU BOLDING DDS
NPI 1659028652
Dentist - General Practice in Columbia, TN

Q: What is Beau Bolding's NPI number?

The NPI number for Beau Bolding is 1659028652. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Q: What is Beau Bolding's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Beau Bolding was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 09, 2022PECOS Enrolled

1300 HATCHER LN STE 1, COLUMBIA, TN 38401(931) 388-2279(931) 223-5567 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2025, Jun 11, 2022, Mar 9, 2022 (3 updates tracked since 2022).

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About Dr. Beau Bolding Dds NPPES

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

DR. BEAU BOLDING DDS (NPI 1659028652) is an individual general practice provider in Columbia, Tennessee, licensed in Tennessee (11954) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659028652

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BEAU BOLDINGCredential: DDS

Location Address1300 HATCHER LN STE 1Columbia, TN 38401-3554

Mailing Address1300 Hatcher Ln Ste 1Columbia, TN 38401-3554 · (931) 388-2279 · Fax (931) 223-5567

Phone(931) 388-2279

Fax(931) 223-5567

Sole ProprietorNo

Enumeration DateMarch 9, 2022

Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1659028652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in TN · 11954✔ Licensed in KS · 62214✔ Licensed in MS · 4294-22

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1300 HATCHER LN STE 1, Columbia, TN 38401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Beau Bolding Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Beau Bolding reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Of Southeast Kansas, Inc.

439 mi

Federally Qualified Health Center (FQHC)

2990 MILITARY AVE
Baxter Springs, KS 66713

Reassigned Medicare billing, Kansas enrollment
177 clinicians in this Medicare group

NPI 1932414224 (620) 856-2900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 2

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

ROBERT C WILHITE JR DDS PLLC

Clinic/Center (Dental)

1300 HATCHER LN STE 1
COLUMBIA, TN 38401

Maury County (931) 388-2279

SPENSER RYAN DDS

Dentist

1300 HATCHER LN STE 1
COLUMBIA, TN 38401

Maury County (931) 388-2279

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 Beau Bolding's NPI number?

The NPI number for Beau Bolding is 1659028652. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Where is Beau Bolding located?

Beau Bolding practices at 1300 Hatcher Ln Ste 1, Columbia, TN 38401. The listed phone number is (931) 388-2279.

What is Beau Bolding's specialty?

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

Is Beau Bolding enrolled in Medicare?

Yes. Beau Bolding is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Beau Bolding's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beau Bolding reassigns Medicare benefits to Community Health Center Of Southeast Kansas, Inc. (Baxter Springs, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beau Bolding's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beau Bolding accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 17 other insurers list Beau Bolding 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 Beau Bolding was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.