DR. MICHAEL A BOLDRY D.D.S.
NPI 1932212479
Dentist - General Practice in Rochester, IN

Q: What is Michael Boldry's NPI number?

The NPI number for Michael Boldry is 1932212479. It was assigned to this individual provider in the NPPES registry on August 17, 2006. The provider is also known as Dr. Michael A Boldry D.D.S..

Q: What is Michael Boldry'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 Michael Boldry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 17, 2006PECOS Enrolled

1014 MADISON ST, ROCHESTER, IN 46975(574) 223-3312(574) 224-3312 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Michael A Boldry D.d.s. NPPES

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

DR. MICHAEL A BOLDRY D.D.S. (NPI 1932212479) is an individual general practice provider in Rochester, Indiana, licensed in Indiana (12007092) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932212479

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAEL A BOLDRYCredential: D.D.S.

Location Address1014 MADISON STRochester, IN 46975-1830

Mailing Address1014 Madison StRochester, IN 46975-1830 · (574) 223-3312 · Fax (574) 224-3312

Phone(574) 223-3312

Fax(574) 224-3312

Sole ProprietorYes

Enumeration DateAugust 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1932212479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12007092

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.

1014 MADISON ST, Rochester, IN 46975

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Other Names 1

Other Name (5)Dr. Michael A Boldry D.d.s.

Other Identifiers 1

Other35-1299050-001IN · Anthem

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. Michael A Boldry 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 46975 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

ROCHESTER FAMILY DENTISTRY LLC

Clinic/Center (Dental)

1014 MADISON ST
ROCHESTER, IN 46975

Fulton County (520) 907-9383

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 Michael Boldry's NPI number?

The NPI number for Michael Boldry is 1932212479. It was assigned to this individual provider in the NPPES registry on August 17, 2006. The provider is also known as Dr. Michael A Boldry D.D.S..

Where is Michael Boldry located?

Michael Boldry practices at 1014 Madison St, Rochester, IN 46975. The listed phone number is (574) 223-3312.

What is Michael Boldry's specialty?

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

Is Michael Boldry enrolled in Medicare?

Yes. Michael Boldry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Boldry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.