Richard Prentice Boyle III, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0401008696 Issued in VA

Practice address

100 Professional Park Dr SE
Suite 1
Blacksburg, VA 24060-6665

Phone

(540) 951-8777

Fax

(540) 951-9642

NPI assigned

Nov 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 6, 2017 through Dec 6, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• NRV Oral & Maxillofacial Surgery, LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Blacksburg, VA
  • NPI 1013097195
  NPD (past)

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316938129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL PARK DR SE",
            "address_2": "SUITE 1",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606665",
            "telephone_number": "540-951-8777",
            "fax_number": "540-951-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL PARK DR SE",
            "address_2": "SUITE 1",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606665",
            "telephone_number": "540-951-8777",
            "fax_number": "540-951-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "RICHARD",
        "middle_name": "PRENTICE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401008696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000697",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Markeith Bolden, LPC
• Stacey Bolt, LPC
• Hanna Boothe
• Travis Bostic, LPC
• Carrie Elaine Boucher, LMT
• Rebecca J Brace, LCSW
• Jared Brackenrich, D.O.
• Elizabeth Hope Bradbury, LCSW
• Jennifer Renae Bradley, PHARMD
• Caitlynn Brandon, LPC

• Oral and Maxillofacial Surgery (Dentist) in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.