Individual provider Active NPI

Charles Landrum Boyd, D.M.D.

  • General Practice Dentistry
  • Danville, KY
National Provider Identifier
1427311422
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9218 Issued in KY
Practice address
151 N 3Rd St
Suite 2
Danville, KY 40422-1600
Phone
(859) 236-8229
NPI assigned
Jun 25, 2012
Last updated
Apr 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9218 KY Primary

Addresses

Primary practice location

151 N 3Rd St
Suite 2
Danville, KY 40422-1600

Mailing address

151 N 3Rd St
Danville, KY 40422-1600
Phone (859) 236-8229

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
I20160906000881 KY Order and Referring Only - DentistPractitioner - Dentist 1153617915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9218KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Boyd Family Dentistry PLLC PastSince Apr 1, 2016 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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1427311422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N 3RD ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221600",
            "telephone_number": "859-236-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N 3RD ST",
            "address_2": "SUITE 2",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221600",
            "telephone_number": "859-236-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "CHARLES",
        "middle_name": "LANDRUM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.