1. Home
  2. Directory
  3. Arkansas
  4. Jonesboro
  5. Dentist
  6. NPI Profile

DR. JODI SHANNON BOLING D.D.S.
NPI 1720410806
Dentist in Jonesboro, AR

Active since July 31, 2013PECOS Enrolled
2704 E NETTLETON AVE, JONESBORO, AR 72401(870) 932-9886 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jodi Shannon Boling D.d.s. NPPES

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

DR. JODI SHANNON BOLING D.D.S. (NPI 1720410806) is an individual dentist in Jonesboro, Arkansas, licensed in Arkansas (3950) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720410806
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JODI SHANNON BOLINGCredential: D.D.S.
Location Address2704 E NETTLETON AVEJonesboro, AR 72401-4529
Mailing Address2704 E Nettleton AveJonesboro, AR 72401-4529 · (870) 932-9886
Phone(870) 932-9886
Sole ProprietorYes
Enumeration DateJuly 31, 2013
Last NPPES UpdateJanuary 26, 2016
✔ NPI 1720410806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AR · 3950
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2704 E NETTLETON AVE, Jonesboro, AR 72401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.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)

Dr. Jodi Shannon Boling D.d.s. 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 72401 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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

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

DR. JOHN LAWRENCE SHANNON DDS
Dentist (General Practice)
2704 E NETTLETON AVE
JONESBORO, AR 72401
Craighead County (870) 932-9886

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 Jodi Boling's NPI number?

The NPI number for Jodi Boling is 1720410806. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Jodi Boling located?

Jodi Boling practices at 2704 E Nettleton Ave, Jonesboro, AR 72401. The listed phone number is (870) 932-9886.

What is Jodi Boling's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jodi Boling enrolled in Medicare?

Yes. Jodi Boling is registered in the Medicare PECOS enrollment system.

What insurance does Jodi Boling accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Jodi Boling 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 Jodi Boling was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.