Robert B Boyd, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1053 Issued in VT

Practice address

150 Dorset St
Suite 260
South Burlington, VT 05403-6256

Phone

(802) 863-5335

Fax

(802) 863-9087

NPI assigned

Apr 12, 2007

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in VT

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

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.

• Champlain Dental Group, LTD

  • General Practice Dentistry
  • South Burlington, VT
  • NPI 1891919924
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447474580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DORSET ST",
            "address_2": "SUITE 260",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036256",
            "telephone_number": "802-863-5335",
            "fax_number": "802-863-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DORSET ST",
            "address_2": "SUITE 260",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036256",
            "telephone_number": "802-863-5335",
            "fax_number": "802-863-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "1053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002552",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "619776",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "919-19983",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleda Boomhower, LADC
• Neil A Borja, D.O
• Gillian Boudreau, PH.D.
• Acacia Mildred Metz Bouvier
• Brittany Bowman
• Kym Boyman, MD
• Breanna Bozzuto, DPT
• Sarah G. Bradley, M.S., LCMHC
• Margaret Brennan, ATC
• Kali Brgant, LCMHC

• General Practice Dentistry in South Burlington, VT
• Providers in South Burlington, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.