Active NPI
James R Boynton, DDS
- Pediatric Dentistry
- Ann Arbor, MI
National Provider Identifier
1265556468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2901018557
- Practice address
- 1500 E Medical Center Dr
B1B204
Ann Arbor, MI 48109-0018 - Phone
- (734) 763-2331
- Fax
- (734) 763-8100
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901018557 | MI | |
| Pediatric Dentistry | 1223P0221X | 2901018557 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr
B1B204
Ann Arbor, MI 48109-0018
Mailing address
1011 N University
Ann Arbor, MI 48109-1078
Phone (734) 763-2331
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4784428 | Medicaid | MI | |
| 4784437 | Medicaid | MI | |
| D185570 | Other | MI | BCBS OF MI DENTAL |
| 1958112000 | Other | MI | BCBS OF MI MED SURGICAL |
| 2667592 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901018557 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1265556468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 N UNIVERSITY",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481091078",
"telephone_number": "734-763-2331",
"fax_number": "734-763-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"address_2": "B1B204",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481090018",
"telephone_number": "734-763-2331",
"fax_number": "734-763-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYNTON",
"first_name": "JAMES",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901018557",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MI",
"license": "2901018557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4784428",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4784437",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI DENTAL",
"identifier": "D185570",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI MED SURGICAL",
"identifier": "1958112000",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2667592",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.