NPI age
19 years
Enumerated 2007-03-28
● Active Type 2 · Organization
J.c. Boley, D.d.s., M.s., Inc.
J.c. Boley, D.d.s., M.s., Inc. is 1 of 1850 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Boley
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1850 active dentist providers in Texas.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
400 S Cottonwood Dr
Richardson, TX 750805708
Mailing address
400 S Cottonwood Dr
Richardson, TX 750805708
Authorized official
Jimmy Carroll Boley, D.D.S., M.S.
President
📞 9722314896
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Miro Pavelka, DDS, MSD Dentist NPI 1154447415
- Robert Pavelka, D.D.S., M.D. Dentist NPI 1700845930
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00C652 | BCBSINSURANCE PROVIDER # |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.