Anthony Q Boyd, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

38650 Issued in CA

Practice address

362 E Vanderbilt Way
San Bernardino, CA 92408-3593

Phone

(909) 384-1111

Fax

(909) 381-2981

NPI assigned

Dec 11, 2006

Last updated

Oct 26, 2011By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inland Dental Center

  • Dentist
  • San Bernardino, CA
  • NPI 1427294610
  Authorized official Same address or phone
• Boyd Dental Corporation

  dba Alicia Orthodontic & Pediatric Specialties

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mission Viejo, CA
  • NPI 1245629427
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1528128261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SPECTRUM POINTE DR",
            "address_2": "SUITE 308",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302273",
            "telephone_number": "949-600-7046",
            "fax_number": "949-600-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 E VANDERBILT WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083593",
            "telephone_number": "909-384-1111",
            "fax_number": "909-381-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ANTHONY",
        "middle_name": "Q",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi Jo Elizabeth Bowlin
• Ashley Bowman
• Marjorie Liza Bown, LCSW
• Angela Bowser, LCSW
• Rahul Boyapati
• Hansel Boyd
• Wayne Rodney Boyd, MD
• Yasmina Boyd, M.D
• Brenda Jean Boyle, PMHNP-BC
• William T Boyle, PA-C

• Dentist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.