Organization Active NPI

J. Michele Boyne, DMD, L.L.C.

  • Pediatric Dentistry
  • Rock Hill, SC
National Provider Identifier
1659055192
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
J. MICHELE BOYNE, DMD, L.L.C.
Practice address
1562 Constitution Blvd Ste 102
Rock Hill, SC 29732-3540
Phone
(803) 328-8865
Fax
(803) 328-8931
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Dr. Jeanne Michele Boyne, DMD
Title
Owner
Phone
(803) 328-8865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1562 Constitution Blvd Ste 102
Rock Hill, SC 29732-3540

Mailing address

1562 Constitution Blvd Ste 102
Rock Hill, SC 29732-3540
Phone (803) 328-8865

National Provider Directory

National Provider Directory

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": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1659055192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 CONSTITUTION BLVD STE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323540",
            "telephone_number": "803-328-8865",
            "fax_number": "803-328-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 CONSTITUTION BLVD STE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323540",
            "telephone_number": "803-328-8865",
            "fax_number": "803-328-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHELE BOYNE, DMD, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "BOYNE",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-328-8865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.