Individual provider Active NPI

Joseph Simon Boyle, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1235344854
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18990 Issued in TX
Practice address
7400 Louis Pasteur Dr
#205
San Antonio, TX 78229-4514
Phone
(210) 614-8866
Fax
(210) 614-0508
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18990 TX Primary

Addresses

Primary practice location

7400 Louis Pasteur Dr
#205
San Antonio, TX 78229-4514

Mailing address

7400 Louis Pasteur Dr
#205
San Antonio, TX 78229-4514
Phone (210) 614-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050118000775 TX Practitioner - Oral Surgery 4587613476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7718 Pasteur CT
San Antonio, TX 78229-3654
Phone (210) 614-8866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18990TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph S Boyle D D S P a CurrentSince Nov 1, 1999 Accepting new patients

Locations

7400 Louis Pasteur Dr
Ste 205
San Antonio, TX 78229
Phone (210) 614-8866

7718 Pasteur Ct
Ste 101
San Antonio, TX 78229
Phone (210) 477-9060

7400 Louis Pasteur Dr
#20
San Antonio, TX 78229
Phone (210) 614-8866

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235344854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LOUIS PASTEUR DR",
            "address_2": "#205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294514",
            "telephone_number": "210-614-8866",
            "fax_number": "210-614-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 LOUIS PASTEUR DR",
            "address_2": "#205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294514",
            "telephone_number": "210-614-8866",
            "fax_number": "210-614-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "JOSEPH",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.