Keya Boykin-Miller, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009225 Issued in AZ

Practice address

808 N Mission Pkwy
Casa Grande, AZ 85194-8412

Phone

(520) 426-3639

NPI assigned

Feb 5, 2007

Sex

Female

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

Other names 1

• Keya Boykin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Promenade Smiles, LLP

  dba Promenade Smiles

  • General Practice Dentistry
  • Casa Grande, AZ
  • NPI 1437392248
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1447399795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 E JUDE LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852980297",
            "telephone_number": "267-471-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N MISSION PKWY",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851948412",
            "telephone_number": "520-426-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN-MILLER",
        "first_name": "KEYA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014905350003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEYA",
            "last_name": "BOYKIN",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Krystal Bonner, LMT
• Borik Hospitalist Group, Inc.
• Anne Borik, DO
• Rodney M Boudreaux, M.A.
• William G. Bove, P.A.
• Alan Bradford, N.D.
• Brain and Spine Center PLC
• Branches of Hope ABA LLC
• Diana Lynn Braskett, C.P.N.P.
• Shaun Brewer, DPT

• General Practice Dentistry in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.