Blake Boleware, DMD, MS
NPI 1881200673 · Orthodontics and Dentofacial Orthopedics Dentistry · Ridgeland, MS
Blake Boleware, DMD, MS is a Orthodontics and Dentofacial Orthopedics Dentistry provider in Ridgeland, MS (NPI 1881200673).
Provider details
- NPI number
- 1881200673
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD, MS
- Sex
- Male
- Sole proprietor
- No
- License
- OR-575-20 (MS)
Specialties & taxonomies
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
3 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.
$166 across 4 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 (2)
- 749 Clinton PkwyClinton, MS 39056-5245Phone: (601) 926-1772
- 2685 Crane Ridge Dr Ste aJackson, MS 39216-4906Phone: (601) 981-3036
Registry dates
- Enumerated
- 2020-09-17
- Last updated
- 2023-08-14
- Certified
- 2023-08-14
Frequently asked questions
- What is Blake Boleware's NPI number?
- Blake Boleware's National Provider Identifier (NPI) is 1881200673, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Boleware's specialty?
- Blake Boleware is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Blake Boleware located?
- Blake Boleware's practice location on file with NPPES is 525 Thomastown Ln Ste a, Ridgeland, MS 39157-3440.
- What is Blake Boleware's phone number?
- The practice phone number listed in the NPPES registry for Blake Boleware is (601) 856-3054.
- Is Blake Boleware's NPI active?
- Yes — Blake Boleware's NPI (1881200673) is active in the NPPES registry as of the last update on 2023-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.