Boyd N Nordmark DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04716 Issued in IA

Legal business name

BOYD N NORDMARK DDS PC

Practice address

619 W Euclid Avenue
Des Moines, IA 50313-4111

Phone

(515) 243-2221

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Boyd Nelson Nordmark, DDS

Title

President

Phone

(515) 243-2221

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477611267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 W EUCLID AVENUE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503134111",
            "telephone_number": "515-243-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W EUCLID AVENUE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503134111",
            "telephone_number": "515-243-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD N NORDMARK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORDMARK",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-243-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "04716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL",
            "identifier": "FEP 03878",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Annette Bower, DO
• Jaime Marie Bower, RN
• Kourtney Bowlin
• Katie Elizabeth Bowling
• Kirsten Bowser, LMHC
• Antionette Latrice Boyd
• Matthew Joseph Boyd, PHARMD
• Whitney Boyenga
• Kari Lynn Boyer, MLS, ASCP
• Natalie Celeste Boyer, PHARMD

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.