Organization Active NPI

J David Boyd DDS PA

  • Dentist
  • Salisbury, NC
National Provider Identifier
1063628196
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5473 Issued in NC
Legal business name
J DAVID BOYD DDS PA
Practice address
644 Statesville Blvd
Ste #4
Salisbury, NC 28144-2281
Phone
(704) 636-1533
Fax
(704) 636-5514
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James David Boyd, DDS PA
Title
Dentist Owner
Phone
(704) 636-1533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5473 NC Primary

Addresses

Primary practice location

644 Statesville Blvd
Ste #4
Salisbury, NC 28144-2281

Mailing address

644 Statesville Blvd
Ste #4
Salisbury, NC 28144-2281
Phone (704) 636-1533

Other identifiers 5

IdentifierTypeStateIssuer
175565OtherVABCBS ANTHEM
90917OtherNCMCHC BCBS
8990917MedicaidNC
544878OtherUNITED CONCORDIA
4077018OtherTNBCBS

National Provider Directory

National Provider Directory

Locations

644 Statesville Blvd
Ste 4
Salisbury, NC 28144
Phone (704) 636-1533

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063628196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 STATESVILLE BLVD",
            "address_2": "STE #4",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442281",
            "telephone_number": "704-636-1533",
            "fax_number": "704-636-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 STATESVILLE BLVD",
            "address_2": "STE #4",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442281",
            "telephone_number": "704-636-1533",
            "fax_number": "704-636-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DAVID BOYD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "704-636-1533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM",
            "identifier": "175565",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCHC BCBS",
            "identifier": "90917",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990917",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "544878",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4077018",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.