Carl Anthony Boykin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6824 Issued in LA

Practice address

217 S Extension St
Hazlehurst, MS 39083-3322

Phone

(601) 812-8686

NPI assigned

Jan 7, 2008

Last updated

Aug 25, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Copiah Family Dentistry

  dba Carl Anthony Boykin, DMD

  • Dentist
  • Hazlehurst, MS
  • NPI 1750699039
  NPD (past) Authorized official

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1144405390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SOUTH EXTENSION STREET",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "39083",
            "telephone_number": "601-812-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S EXTENSION ST",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390833322",
            "telephone_number": "601-812-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "CARL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3431-07",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06457826",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Garrett Bass, DPT
• Bio-Medical Applications of Mississippi, Inc. (Bma Hazlehurst)
• Roger Dale Blakeney, RPH
• Blessing Hands LLC
• Diana Bogan
• Courtney Rachel Britt, PT
• Sarah Gartman Brouckaert, RN
• Alyssa Nichole Bryant, DPT
• Emma Louise Burns
• Samantha Byther-Short, PSC

• General Practice Dentistry in Hazlehurst, MS
• Providers in Hazlehurst, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.