Individual provider Active NPI

Michael Lee Boyd, DMD

  • Pediatric Dentistry
  • Allen, KY
National Provider Identifier
1366507451
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7080 Issued in KY
Practice address
6363 Kentucky Route 1428
Allen, KY 41601
Phone
(606) 874-2800
Fax
(606) 874-2456
NPI assigned
Dec 27, 2006
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 7080 KY Primary

Addresses

Primary practice location

6363 Kentucky Route 1428
Allen, KY 41601

Mailing address

PO Box 547
Allen, KY 41601-0547
Phone (606) 874-2800

Other practice location 1

740 S Limestone
Ste A201
Lexington, KY 40536-0001
Phone (859) 323-6261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924003551 KY Practitioner - Dentist 6406351055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Kentucky College of Dentistry, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 Waller Ave
Suite 209
Lexington, KY 40503-1035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Pediatric Dentistry CurrentSince Sep 2, 2025 Accepting new patients
University of Kentucky CurrentSince Sep 2, 2025 Accepting new patients
Lee Boyd DMD PSC Pediatric Dentistry Current Accepting new patients

Locations

129 Court St
Allen, KY 41601
Phone (606) 874-2800

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

Organizations & group practices 3

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1366507451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "ALLEN",
            "state": "KY",
            "postal_code": "416010547",
            "telephone_number": "606-874-2800",
            "fax_number": "606-874-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 KENTUCKY ROUTE 1428",
            "city": "ALLEN",
            "state": "KY",
            "postal_code": "41601",
            "telephone_number": "606-874-2800",
            "fax_number": "606-874-2456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 S Limestone",
            "address_2": "Ste A201",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-323-6261",
            "fax_number": "859-323-2036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "7080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, KY

Sources for this page

Verify at the official NPI Registry.