Active NPI
Emily Sandifer Boyd, D.M.D.
- Dentist
- Burke, VA
National Provider Identifier
1245474899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9559
- Practice address
- 6035 Burke Centre Pkwy
Suite 330
Burke, VA 22015-3750 - Phone
- (502) 552-7424
- NPI assigned
- Apr 27, 2009
- Last updated
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 9559 | TN | Primary |
Addresses
Primary practice location
6035 Burke Centre Pkwy
Suite 330
Burke, VA 22015-3750
Mailing address
2305 Rudolphtown Rd
Clarksville, TN 37043-2228
Phone (502) 552-7424
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9559 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1245474899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 RUDOLPHTOWN RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370432228",
"telephone_number": "502-552-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6035 BURKE CENTRE PKWY",
"address_2": "SUITE 330",
"city": "BURKE",
"state": "VA",
"postal_code": "220153750",
"telephone_number": "502-552-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "EMILY",
"middle_name": "SANDIFER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-27",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.