Organization Active NPI

James H Boyd Jr DDS LTD

  • Dentist
  • Norfolk, VA
National Provider Identifier
1053583336
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4060 Issued in VA
Legal business name
JAMES H BOYD JR DDS LTD
Practice address
549 E Brambleton Avenue
Ste 9
Norfolk, VA 23510
Phone
(757) 623-4820
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. James H Boyd Jr.
Title
Dentist
Phone
(757) 623-4820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4060 VA Primary

Addresses

Primary practice location

549 E Brambleton Avenue
Ste 9
Norfolk, VA 23510

Mailing address

549 E Brambleton Avenue
Ste 9
Norfolk, VA 23510
Phone (757) 623-4820

Other identifiers 2

IdentifierTypeStateIssuer
606011MedicaidPA
006108MedicaidWI

National Provider Directory

National Provider Directory

Locations

549 E Brambleton Ave
Ste 9
Norfolk, VA 23510
Phone (757) 623-4820

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1053583336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 E BRAMBLETON AVENUE",
            "address_2": "STE 9",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "757-623-4820",
            "fax_number": "757-623-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E BRAMBLETON AVENUE",
            "address_2": "STE 9",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "757-623-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H BOYD JR DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-623-4820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "4060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606011",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006108",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.