Individual provider Active NPI

Thana Dawn Boyd, DENTAL HYGIENIST

  • Dental Hygienist
  • Phoenix, AZ
National Provider Identifier
1194189878
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H06758 Issued in AZ
Practice address
4041 N Central Ave
BLDG. C
Phoenix, AZ 85012-3330
Phone
(602) 279-5262
Fax
(602) 263-0452
NPI assigned
Apr 8, 2016
Last updated
Apr 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X 00087 AZ
Dental Hygienist 124Q00000X H06758 AZ Primary

Addresses

Primary practice location

4041 N Central Ave
BLDG. C
Phoenix, AZ 85012-3330

Mailing address

4041 N Central Ave
BLDG. C
Phoenix, AZ 85012-3330
Phone (602) 279-5262

Other names 1

  • Thana Dawn Tacheene Former name

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

LicenseStateTypeSpecialty
H06758AZMDDental Hygienist
00087AZMDOptometrist

Interoperability endpoints

  • Direct secure messaging: thana.boyd.p1@direct.nachci.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1194189878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 N CENTRAL AVE",
            "address_2": "BLDG. C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123330",
            "telephone_number": "602-279-5262",
            "fax_number": "602-263-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N CENTRAL AVE",
            "address_2": "BLDG. C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123330",
            "telephone_number": "602-279-5262",
            "fax_number": "602-263-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "THANA",
        "middle_name": "DAWN",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "AZ",
            "license": "00087",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H06758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THANA",
            "last_name": "TACHEENE",
            "middle_name": "DAWN",
            "credential": "DENTAL HYGIENIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.