Active NPI
Andrew T Boyer, DDS
- Dentist
- Springfield, IL
National Provider Identifier
1215115191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019027338
- Practice address
- 3250 Conifer Dr
Springfield, IL 62711-8305 - Phone
- (217) 546-8811
- Fax
- (217) 546-8814
- NPI assigned
- Feb 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019027338 | IL | Primary |
Addresses
Primary practice location
3250 Conifer Dr
Springfield, IL 62711-8305
Mailing address
3250 Conifer Dr
Springfield, IL 62711-8305
Phone (217) 546-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1215115191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 CONIFER DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627118305",
"telephone_number": "217-546-8811",
"fax_number": "217-546-8814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 CONIFER DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627118305",
"telephone_number": "217-546-8811",
"fax_number": "217-546-8814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "ANDREW",
"middle_name": "T",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-04",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019027338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.