Kathleen S Boyd, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6007 Issued in NC

Practice address

108 Doctors Dr
Boone, NC 28607-5000

Phone

(828) 262-4651

Fax

(828) 386-1773

NPI assigned

May 26, 2006

Last updated

Dec 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Boone, NC
  • NPI 1588366355
  Medicare reassignment NPD
• Kathleen S. Boyd, DDS, PA

  • Endodontics
  • Salisbury, NC
  • NPI 1417158874
  NPD (past) Authorized official
• High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Mount Airy, NC
  • NPI 1629942115
  NPD
• Brett R. Henson, DDS, PA

  • Dental Clinic/Center
  • Salisbury, NC
  • NPI 1356860324
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1164478335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071490",
            "telephone_number": "828-262-3886",
            "fax_number": "828-265-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DOCTORS DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075000",
            "telephone_number": "828-262-4651",
            "fax_number": "828-386-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Parker Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555113",
            "country_code": "US",
            "telephone_number": "828-608-9062",
            "fax_number": "828-742-1024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 Pineola St",
            "address_purpose": "LOCATION",
            "city": "Newland",
            "state": "NC",
            "postal_code": "286577604",
            "country_code": "US",
            "telephone_number": "828-742-1018",
            "fax_number": "828-742-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KATHLEEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "6007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "90893",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "795487",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990893",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4010411",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON BCBS",
            "identifier": "341264",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Booth, PT, DPT, NCS
• Dawn C Botts, EDD, CCC/SLP
• Natalie Elizabeth Bovino, FNP-C
• Grace Elizabeth Bowen
• Sarah Bowman, ATC
• Kyndall L Boyle, PT, PHD, OCS, PRC
• Jeanne Jokinen Bradshaw, PT, OCS
• Steven Russell Branch
• Carla F Brandolini, LPT
• Tammie J. Brettschneider, LPCS

• Endodontics in Boone, NC
• Providers in Boone, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.