Dennis Samuel Boatwright Jr.
Non-emergency Medical Transport (VAN) in Southfield, MI. Individual provider (NPI-1).
NPI number1194476069
StatusActive
Last updated in NPPESJan 12, 2022
Details
- NPI
- 1194476069
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dennis Samuel Boatwright Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 12, 2022
- Certification date
- Jan 12, 2022
- Last updated
- Jan 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
15700 W 10 Mile Rd Ste 212Southfield, MI 48075-2143
Phone 313-397-8159 · Fax 313-397-8159
Mailing address
15700 W 10 Mile Rd Ste 212Southfield, MI 48075-2143
Phone 313-397-8159 · Fax 313-397-8159
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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