John Boutwell, DDS
NPI 1770108102 · Dentist · Greenville, SC
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Boutwell, DDS is a Dentist provider in Greenville, SC (NPI 1770108102).
Provider details
- NPI number
- 1770108102
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7099 (LA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
6 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$40 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 600 N Highway 190 Ste 4Covington, LA 70433-5083Phone: (985) 893-5522
Registry dates
- Enumerated
- 2020-06-11
- Last updated
- 2022-01-20
- Certified
- 2022-01-20
Frequently asked questions
- What is John Boutwell's NPI number?
- John Boutwell's National Provider Identifier (NPI) is 1770108102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Boutwell's specialty?
- John Boutwell is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is John Boutwell located?
- John Boutwell's practice location on file with NPPES is 3369 Pelham Rd, Greenville, SC 29615-4105.
- What is John Boutwell's phone number?
- The practice phone number listed in the NPPES registry for John Boutwell is (864) 297-6365.
- Does John Boutwell accept Medicare?
- John Boutwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Boutwell's NPI active?
- Yes — John Boutwell's NPI (1770108102) is active in the NPPES registry as of the last update on 2022-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.