Individual provider Active NPI

Anthony Logan Boyd, D.D.S.

  • Dentist
  • Annapolis, MD
National Provider Identifier
1215198858
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8580 Issued in MD
Practice address
914 Bay Ridge Rd
Suite 205
Annapolis, MD 21403-3999
Phone
(410) 626-1797
Fax
(410) 626-9809
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8580 MD Primary

Addresses

Primary practice location

914 Bay Ridge Rd
Suite 205
Annapolis, MD 21403-3999

Mailing address

914 Bay Ridge Rd
Suite 205
Annapolis, MD 21403-3999
Phone (410) 626-1797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20150630000447 MD Order and Referring Only - DentistPractitioner - Dentist 5395979702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8580MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Boyd & Boyd P C Dentist PastSince Jan 1, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1215198858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 BAY RIDGE RD",
            "address_2": "SUITE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033999",
            "telephone_number": "410-626-1797",
            "fax_number": "410-626-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 BAY RIDGE RD",
            "address_2": "SUITE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033999",
            "telephone_number": "410-626-1797",
            "fax_number": "410-626-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ANTHONY",
        "middle_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "8580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.