Active NPI
J David Boyd DDS PA
- Dentist
- Salisbury, NC
National Provider Identifier
1063628196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5473
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175565 | Other | VA | BCBS ANTHEM |
| 90917 | Other | NC | MCHC BCBS |
| 8990917 | Medicaid | NC | |
| 544878 | Other | UNITED CONCORDIA | |
| 4077018 | Other | TN | BCBS |
National Provider Directory
National Provider DirectoryLocations
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
- Patsy Tucker Iossi, LCMHC, PA
- Sherri Bentley Isenhour
- Isioma a. Okonmah D.D.S., M.P.H., P.a.
- Paula M. Issinghoff, NP
- Iwin, LLC
- J N Holmes MD and Associates General Internal Medicine PLLC
- J. Stephen Selden DDS and Associates, PA
- Felicia Maria Jabs, MA, BCBA, LBA
- Kina Ladawn Jackson, AGNP
- Joseph Elmer Jacobson, MD
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.