NPIMap

Organization Active NPI

Kenneth B. Boyd Sr. DDS, LTD.

  • General Practice Dentistry
  • Chesapeake, VA
National Provider Identifier
1043466089
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007988 Issued in VA
Legal business name
KENNETH B. BOYD SR. DDS, LTD.
Practice address
838 Old George Washington Hwy N
C
Chesapeake, VA 23323-2209
Phone
(757) 558-9008
Fax
(757) 558-9042
NPI assigned
Aug 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Kenneth Bernard Boyd Sr., D.D.S.NPI 1366632705
Title
Owner
Phone
(757) 558-9008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401007988 VA Primary

Addresses

Primary practice location

838 Old George Washington Hwy N
C
Chesapeake, VA 23323-2209

Mailing address

838 Old George Washington Hwy N
C
Chesapeake, VA 23323-2209
Phone (757) 558-9008

National Provider Directory

National Provider Directory

Locations

838 Old George Washington Hwy N
Ste C
Chesapeake, VA 23323
Phone (757) 558-9008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1043466089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 OLD GEORGE WASHINGTON HWY N",
            "address_2": "C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232209",
            "telephone_number": "757-558-9008",
            "fax_number": "757-558-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 OLD GEORGE WASHINGTON HWY N",
            "address_2": "C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232209",
            "telephone_number": "757-558-9008",
            "fax_number": "757-558-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH B. BOYD SR. DDS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-558-9008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.