NPIMap

Organization Active NPI

Kenneth C Boyle DMD PC

  • Dentist
  • West Hazleton, PA
National Provider Identifier
1659570869
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS026322L Issued in PA
Legal business name
KENNETH C BOYLE DMD PC
Practice address
111 East Broad Street
West Hazleton, PA 18202
Phone
(570) 459-2263
Fax
(570) 459-5922
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Kenneth Charles Boyle, DMDNPI 1487694451
Title
Dentist
Phone
(570) 459-2263

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS026322L PA Primary

Addresses

Primary practice location

111 East Broad Street
West Hazleton, PA 18202

Mailing address

111 East Broad Street
West Hazleton, PA 18202
Phone (570) 459-2263

National Provider Directory

National Provider Directory

Locations

111 E Broad St
West Hazleton, PA 18202
Phone (570) 459-2263

Practitioners & affiliated clinicians

Practitioners 2

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1659570869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EAST BROAD STREET",
            "city": "WEST HAZLETON",
            "state": "PA",
            "postal_code": "18202",
            "telephone_number": "570-459-2263",
            "fax_number": "570-459-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST BROAD STREET",
            "city": "WEST HAZLETON",
            "state": "PA",
            "postal_code": "18202",
            "telephone_number": "570-459-2263",
            "fax_number": "570-459-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C BOYLE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "570-459-2263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS026322L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.