Jared Michael Boyd, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6191 Issued in LA

Practice address

2042 Line Ave
Shreveport, LA 71104-2125

Phone

(318) 425-5356

Fax

(318) 674-2898

NPI assigned

Sep 20, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boyd DDS LLC

  • Dentist
  • Shreveport, LA
  • NPI 1124568332
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1003124397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042125",
            "telephone_number": "318-425-5356",
            "fax_number": "318-674-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042125",
            "telephone_number": "318-425-5356",
            "fax_number": "318-674-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant Boyd, MD
• Christopher Boyd
• Duston Wayne Boyd, M.D.
• Felicia Boyd
• Gabrielle Gandy Boyd, OD
• Jessica Boyd
• Justin Michael Boyd, PT, DPT
• Kenisha Boyd
• Kris Wayne Boyd, PHARMD
• McKenzy K Boyd, DDS

• Dentist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.