Boyd Patummas, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6289 Issued in AZ

Practice address

6323 S Rural Rd Ste 101
Tempe, AZ 85283-2933

Phone

(480) 820-7777

Fax

(480) 820-7774

NPI assigned

May 4, 2006

Sex

Male

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 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 and National Provider Directory roles.

• Smile Innovations Corp

  • General Practice Dentistry
  • Tempe, AZ
  • NPI 1629243571
  NPD (past) Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1194773226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 S RURAL RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832933",
            "telephone_number": "480-820-7777",
            "fax_number": "480-820-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 S RURAL RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832933",
            "telephone_number": "480-820-7777",
            "fax_number": "480-820-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATUMMAS",
        "first_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "895534",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jelise Patterson
• Joseph W Patterson, PH.D.
• Kelli M Patterson, NP
• Maria Patterson, L. AC, DAC
• Alexa Victoria Patton, AU.D.
• George Paul, O.D.
• Stephanie Paulive
• Heather Anne Paulson, N.D.
• Zackary T Paustian, LPC
• Elisa Beth Pavlet

• General Practice Dentistry in Tempe, AZ
• Providers in Tempe, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.