BRADLEY BOEKE D.D.S.
NPI 1770628539
Dentist - General Practice in Rowlett, TX

Q: What is Bradley Boeke's NPI number?

The NPI number for Bradley Boeke is 1770628539. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Bradley Boeke'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 Bradley Boeke was last updated on June 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 20, 2007PECOS Enrolled

4624 LAKEVIEW PKWY, ROWLETT, TX 75088(972) 840-2020(972) 694-0260 Get Directions Write a Review

NPPES record last updated: June 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bradley Boeke D.d.s. NPPES

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

BRADLEY BOEKE D.D.S. (NPI 1770628539) is an individual general practice provider in Rowlett, Texas, licensed in Texas (13526) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770628539

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameBRADLEY BOEKECredential: D.D.S.

Location Address4624 LAKEVIEW PKWYRowlett, TX 75088-4027

Mailing Address4624 Lakeview PkwyGarland, TX 75088-4027 · (972) 840-2020 · Fax (972) 694-0260

Phone(972) 840-2020

Fax(972) 694-0260

Sole ProprietorNo

Enumeration DateFebruary 20, 2007

Last NPPES UpdateJune 21, 2017

✔ NPI 1770628539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 13526

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.

4624 LAKEVIEW PKWY, Rowlett, TX 75088

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Bradley Boeke 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 75088 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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 8

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

ELIZABETH ALEJANDREZ DMD

Dentist (General Practice)