Active NPI
Susan Lee Boyd, DDS
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1346314317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13306
- Practice address
- 12121 Richmond
Suite 426
Houston, TX 77082 - Phone
- (281) 497-5252
- Fax
- (281) 497-1303
- NPI assigned
- Nov 20, 2006
- Last updated
- Feb 1, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13306 | TX | Primary |
Addresses
Primary practice location
12121 Richmond
Suite 426
Houston, TX 77082
Mailing address
12121 Richmond
Suite 426
Houston, TX 77082
Phone (281) 497-5252
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 |
|---|---|---|---|
| 13306 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Dentistry | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1346314317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 RICHMOND",
"address_2": "SUITE 426",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77082",
"telephone_number": "281-497-5252",
"fax_number": "281-497-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 RICHMOND",
"address_2": "SUITE 426",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77082",
"telephone_number": "281-497-5252",
"fax_number": "281-497-1303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "SUSAN",
"middle_name": "LEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "13306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.