Individual provider Active NPI

Karla Jo Boyd, D.D.S.

  • Dentist
  • Owasso, OK
National Provider Identifier
1518174580
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5843 Issued in OK
Practice address
8415 N 125TH East Ave
Owasso, OK 74055-2161
Phone
(918) 272-0031
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5843 OK Primary

Addresses

Primary practice location

8415 N 125TH East Ave
Owasso, OK 74055-2161

Mailing address

8415 N 125TH East Ave
Owasso, OK 74055-2161
Phone (918) 272-0031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 31, 2016 through Mar 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5843OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boyd Family Dentistry Dentist CurrentSince Feb 9, 2025 Accepting new patients

Locations

12899 E 76th St N
Ste 108
Owasso, OK 74055

8415 N 125th East Ave
Owasso, OK 74055
Phone (918) 272-0031

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1518174580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 N 125TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552161",
            "telephone_number": "918-272-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N 125TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552161",
            "telephone_number": "918-272-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KARLA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.