Individual provider Active NPI

Robert Dewey Boynton Jr., D.D.S.

  • General Practice Dentistry
  • Northampton, MA
National Provider Identifier
1144665613
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15301 Issued in MA
Practice address
51 Locust St
Suite #2
Northampton, MA 01060-2545
Phone
(413) 584-3741
Fax
(413) 582-0485
NPI assigned
May 9, 2013
Last updated
May 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15301 MA Primary

Addresses

Primary practice location

51 Locust St
Suite #2
Northampton, MA 01060-2545

Mailing address

51 Locust St
Suite #2
Northampton, MA 01060-2545
Phone (413) 584-3741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150417000535 MA Order and Referring Only - DentistPractitioner - Dentist 2567780877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15301MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1144665613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 LOCUST ST",
            "address_2": "SUITE #2",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602545",
            "telephone_number": "413-584-3741",
            "fax_number": "413-582-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 LOCUST ST",
            "address_2": "SUITE #2",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602545",
            "telephone_number": "413-584-3741",
            "fax_number": "413-582-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYNTON",
        "first_name": "ROBERT",
        "middle_name": "DEWEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.