Eric R. Boyd DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

2009028398 Issued in MO

Legal business name

ERIC R. BOYD DDS, PC

Practice address

2516 Forum Blvd
Suite #200
Columbia, MO 65203-5405

Phone

(573) 446-6662

Fax

(573) 446-6660

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Eric Roger Boyd, DDS

Title

President

Phone

(573) 446-6662

Specialties & licenses 1

Addresses

Other names 1

• The Colonies Dental Center Doing business as

Locations

Practitioners 1

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

• Patrick Bendon Ryan, DDS

  • Dentist
  • Columbia, MO
  • NPI 1306041645
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1053608901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 FORUM BLVD",
            "address_2": "SUITE #200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035405",
            "telephone_number": "573-446-6662",
            "fax_number": "573-446-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 FORUM BLVD",
            "address_2": "SUITE #200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035405",
            "telephone_number": "573-446-6662",
            "fax_number": "573-446-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC R. BOYD DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-446-6662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009028398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Colonies Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John H Ensor, MED, LPC
• Epoch - Central Missouri Limited Liability Company
• Chelsea Epperson, ATC, OTC
• Rachel Nicole Epperson, LPN
• Angela Marie Erdel, PHARM.D.
• Forrest Ericksen, MD
• Raymond S Erickson, APRN-BC
• Diana L Erion, FNP-BC
• Reba V. Ertz, R.N.
• Magda Esebua, M.D.

• Dentist in Columbia, MO
• Providers in Columbia, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.