Active NPI
Ronald James Boyd, DDS
- Dentist
- Newark, NY
National Provider Identifier
1053395046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 033870
- Practice address
- 114 High St
Newark, NY 14513-8806 - Phone
- (315) 331-4530
- Fax
- (315) 331-8305
- NPI assigned
- Dec 2, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 033870 | NY | Primary |
Addresses
Primary practice location
114 High St
Newark, NY 14513-8806
Mailing address
114 High St
Newark, NY 14513-8806
Phone (315) 331-4530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00466739 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161128000577 | NY | Order and Referring Only - Other (Physician) | 9436438967 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053395046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 HIGH ST",
"city": "NEWARK",
"state": "NY",
"postal_code": "145138806",
"telephone_number": "315-331-4530",
"fax_number": "315-331-8305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 HIGH ST",
"city": "NEWARK",
"state": "NY",
"postal_code": "145138806",
"telephone_number": "315-331-4530",
"fax_number": "315-331-8305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "RONALD",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "033870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00466739",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.