Jacob Boyd, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7822 Issued in NV

Practice address

1445 W Sunset Rd Unit 107
Henderson, NV 89014-6674

Phone

(702) 922-7000

NPI assigned

Jun 7, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1568156826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 HEATHERSTONE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522650",
            "telephone_number": "702-682-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 W SUNSET RD UNIT 107",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146674",
            "telephone_number": "702-922-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Bowman, CDP
• Melissa Ann Bowman
• Samuel Bowman, RN BSN
• Bernadette Lee Bowyer, PA
• Harrison Boyajian
• Jayzle Joy Boyd, PHARMD
• Krysta A Boyd, DPT
• Robert Boyd, D.M.D.
• Mercier Boykins
• Shevern Boyland

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.