MCCRAY KNOX BOOZER
NPI 1952096695
Dentist - General Practice in Tyler, TX

Active since April 10, 2023
5540 OLD JACKSONVILLE HWY, TYLER, TX 75703(903) 597-2121 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Apr 10, 2023 (2 updates tracked since 2023).

About Mccray Knox Boozer NPPES

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

MCCRAY KNOX BOOZER (NPI 1952096695) is an individual general practice provider in Tyler, Texas, licensed in Texas (41958) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1952096695
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMCCRAY KNOX BOOZER
Location Address5540 OLD JACKSONVILLE HWYTyler, TX 75703-3378
Mailing Address5540 Old Jacksonville HwyTyler, TX 75703-3378 · (903) 597-2121
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1952096695 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 · 41958
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.
5540 OLD JACKSONVILLE HWY, Tyler, TX 75703

Other Providers at the Same Location NPPES 7

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

Dentist (General Practice)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703
Dentist (General Practice)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703
Dentist (General Practice)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703
Dentist (General Practice)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703
Dentist (General Practice)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703
Dentist (Pediatric Dentistry)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703
Dentist (Pediatric Dentistry)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703

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 Mccray Boozer's NPI number?

The NPI number for Mccray Boozer is 1952096695. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Mccray Boozer located?

Mccray Boozer practices at 5540 Old Jacksonville Hwy, Tyler, TX 75703. The listed phone number is (903) 597-2121.

What is Mccray Boozer's specialty?

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

When was this NPI record last updated?

The NPPES record for Mccray Boozer was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.