NPIMap

Organization Active NPI

J. Michael Boyd, D.D.S., Inc.

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1376681635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20824 Issued in IN
Legal business name
J. MICHAEL BOYD, D.D.S., INC.
Practice address
2813 Coffee Rd
Suite B-2
Modesto, CA 95355-1755
Phone
(209) 526-4884
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Michael Boyd, D.D.S.NPI 1124017884
Title
Doctor
Phone
(209) 526-4884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20824 IN Primary

Addresses

Primary practice location

2813 Coffee Rd
Suite B-2
Modesto, CA 95355-1755

Mailing address

2813 Coffee Rd Ste B2
Modesto, CA 95355-1755
Phone (209) 526-4884

National Provider Directory

National Provider Directory

Locations

2813 Coffee Rd
Ste B2
Modesto, CA 95355
Phone (209) 526-4884

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376681635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 COFFEE RD STE B2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551755",
            "telephone_number": "209-526-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 COFFEE RD",
            "address_2": "SUITE B-2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551755",
            "telephone_number": "209-526-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL BOYD, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "209-526-4884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "20824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.