Individual provider Active NPI

Kimberly Beth Boyle, DDS

  • Dentist
  • Mechanicsville, VA
National Provider Identifier
1225475767
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008705 Issued in VA
Practice address
6366 Mechanicsville Tpke
Suite 205
Mechanicsville, VA 23111-4704
Phone
(804) 569-0530
Fax
(804) 569-9531
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401008705 VA Primary

Addresses

Primary practice location

6366 Mechanicsville Tpke
Suite 205
Mechanicsville, VA 23111-4704

Mailing address

8044 Goodlife CT
Mechanicsville, VA 23111-7539
Phone (804) 241-7108

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
0401008705VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1225475767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 GOODLIFE CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231117539",
            "telephone_number": "804-241-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6366 MECHANICSVILLE TPKE",
            "address_2": "SUITE 205",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114704",
            "telephone_number": "804-569-0530",
            "fax_number": "804-569-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "KIMBERLY",
        "middle_name": "BETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.