Organization Active NPI

Donald W Boyle DDS Inc

  • Periodontics
  • San Jose, CA
National Provider Identifier
1609074988
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22786 Issued in CA
Legal business name
DONALD W BOYLE DDS INC
Practice address
3996 S Bascom Ave
San Jose, CA 95124-2663
Phone
(408) 377-6286
Fax
(408) 377-8183
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. Donald W Boyle, DDSNPI 1174895056
Title
President
Phone
(408) 377-6286

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 22786 CA Primary

Addresses

Primary practice location

3996 S Bascom Ave
San Jose, CA 95124-2663

Mailing address

3996 S Bascom Ave
San Jose, CA 95124-2663
Phone (408) 377-6286

National Provider Directory

National Provider Directory

Locations

3996 S Bascom Ave
San Jose, CA 95124
Phone (408) 377-6286

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1609074988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3996 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242663",
            "telephone_number": "408-377-6286",
            "fax_number": "408-377-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3996 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242663",
            "telephone_number": "408-377-6286",
            "fax_number": "408-377-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD W BOYLE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-377-6286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "22786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.