Active NPI
Stuart Wayne Boyse, D.D.S.
- General Practice Dentistry
- Mesa, AZ
National Provider Identifier
1255595070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7573
- Practice address
- 2058 S Dobson Rd Ste 3
Mesa, AZ 85202-6455 - Phone
- (480) 345-8597
- Fax
- (480) 345-8598
- NPI assigned
- Jul 10, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7573 | AZ | Primary |
Addresses
Primary practice location
2058 S Dobson Rd Ste 3
Mesa, AZ 85202-6455
Mailing address
2058 S Dobson Rd Ste 3
Mesa, AZ 85202-6455
Phone (480) 345-8597
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1255595070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2058 S DOBSON RD STE 3",
"city": "MESA",
"state": "AZ",
"postal_code": "852026455",
"telephone_number": "480-345-8597",
"fax_number": "480-345-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2058 S DOBSON RD STE 3",
"city": "MESA",
"state": "AZ",
"postal_code": "852026455",
"telephone_number": "480-345-8597",
"fax_number": "480-345-8598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYSE",
"first_name": "STUART",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "7573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.