Keith Richard Boyer, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

58140 Issued in CA

Practice address

1217 26TH St
Sacramento, CA 95816-5617

Phone

(916) 441-2366

Fax

(916) 441-5929

NPI assigned

Aug 20, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Locations

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.

• Western University of Health Sciences

  dba WesternU Health

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1679515217
  Medicare reassignment NPD
• Western University of Health Sciences

  dba Western University Dental Center

  • Dental Clinic/Center
  • Pomona, CA
  • NPI 1265750533
  NPD
• Western University of Health Sciences

  dba Western University Pharmacy

  • Pharmacy
  • Pomona, CA
  • NPI 1295051779
  NPD

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1609182203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 CONSTITUTION CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477407",
            "telephone_number": "916-505-0791",
            "fax_number": "916-786-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 26TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165617",
            "telephone_number": "916-441-2366",
            "fax_number": "916-441-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "KEITH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS038066",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "58140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Boyd, MA, LMFT
• Laurie Boyd
• Michael Eugene Boyd Jr.
• Philana Boyd, AMFT
• Hanna Boyer
• Lauren Elizabeth Boyer, R.D.
• Tristan Richard Boyer, MD
• Linda G Boyers, MSW
• Stephen P. Boyers, M.D.
• Sarah Bianca Boyett, ASW

• Endodontics in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.