NPIMap

Organization Active NPI

Suzanne G. Boyle, D.M.D., L.L.C.

  • Dentist
  • Frederick, MD
National Provider Identifier
1467635573
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9447 Issued in MD
Legal business name
SUZANNE G. BOYLE, D.M.D., L.L.C.
Practice address
182 Thomas Johnson Dr
Suite 205
Frederick, MD 21702-4407
Phone
(301) 696-0111
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Suzanne G. Boyle, D.M.D.NPI 1023471802
Title
Member
Phone
(301) 696-0111

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9447 MD Primary

Addresses

Primary practice location

182 Thomas Johnson Dr
Suite 205
Frederick, MD 21702-4407

Mailing address

182 Thomas Johnson Dr
Suite 205
Frederick, MD 21702-4407
Phone (301) 696-0111

National Provider Directory

National Provider Directory

Locations

182 Thomas Johnson Dr
Ste 205
Frederick, MD 21702
Phone (301) 696-0111

Practitioners & affiliated clinicians

Practitioners 1

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": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1467635573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 THOMAS JOHNSON DR",
            "address_2": "SUITE 205",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024407",
            "telephone_number": "301-696-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 THOMAS JOHNSON DR",
            "address_2": "SUITE 205",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024407",
            "telephone_number": "301-696-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE G. BOYLE, D.M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-696-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "9447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.