Active NPI
William Jamer Boyd Jr., D.M.D.
- Dentist
- Philadelphia, PA
National Provider Identifier
1083987275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 05026108L
- Practice address
- CFCF 8301 State Rd
Philadelphia, PA 19136 - Phone
- (215) 685-7946
- Fax
- (609) 599-4128
- NPI assigned
- Feb 17, 2012
- Last updated
- Feb 17, 2012
- 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 | 05026108L | PA | Primary |
Addresses
Primary practice location
CFCF 8301 State Rd
Philadelphia, PA 19136
Mailing address
537 Revere Rd
Merion Station, PA 19066
Phone (610) 664-5039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05026108L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1083987275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 REVERE RD",
"city": "MERION STATION",
"state": "PA",
"postal_code": "19066",
"telephone_number": "610-664-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CFCF 8301 STATE RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19136",
"telephone_number": "215-685-7946",
"fax_number": "609-599-4128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "WILLIAM",
"middle_name": "JAMER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-17",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "05026108L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.