Bradford Moore Boyd Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31212 Issued in CA

Practice address

151 E Avenue J
Lancaster, CA 93535-3520

Phone

(661) 842-1179

Fax

(661) 942-7157

NPI assigned

Jul 17, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Bradford Boyd, DDS, Inc

  • Dental Clinic/Center
  • Lancaster, CA
  • NPI 1124469606
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467470856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353520",
            "telephone_number": "661-842-1179",
            "fax_number": "661-942-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353520",
            "telephone_number": "661-842-1179",
            "fax_number": "661-942-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "BRADFORD",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Bowen
• Denise Lakesha Bowen
• Dawn Carla Bower, IBCLC
• Staci Nicole Bowie
• Amaya Boyd
• John Boyd
• Tab A. Boyle, D.D.S.
• Gerardo Bozikovic Jr.
• Carla Marie Onglengco Bozon, MD
• Bradford Boyd, DDS, Inc

• General Practice Dentistry in Lancaster, CA
• Providers in Lancaster, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.