Active NPI
William J Boyd Jr., DMD
- General Practice Dentistry
- Travelers Rest, SC
National Provider Identifier
1679003156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10943
- Practice address
- 125 Botanical Cir
Travelers Rest, SC 29690-7112 - Phone
- (864) 836-3611
- NPI assigned
- Jun 15, 2017
- Last updated
- Jan 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9729 | AZ | |
| General Practice Dentistry | 1223G0001X | 10943 | SC | Primary |
Addresses
Primary practice location
125 Botanical Cir
Travelers Rest, SC 29690-7112
Mailing address
125 Botanical Cir
Travelers Rest, SC 29690-7112
Phone (864) 836-3611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171102002879 | AZ | Order and Referring Only - Dentist | 5193081461 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9729 | AZ | MD | Dentist |
| 10943 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dental Retreat LLC | General Practice | Current | Accepting new patients |
| Marketplace Smiles, LLP | General Practice | Past | Accepting new patients |
| The Dental Retreat at Mountain Park | Past | Accepting new patients |
Locations
125 Botanical Cir
Travelers Rest, SC 29690
Phone (602) 502-4540
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Travelers Rest, SC
- NPI 1033935994
-
- Dental Clinic/Center
- Travelers Rest, SC
- NPI 1821485640
-
dba Marketplace Smiles
- General Practice Dentistry
- Phoenix, AZ
- NPI 1518052216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1679003156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 BOTANICAL CIR",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296907112",
"telephone_number": "864-836-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BOTANICAL CIR",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296907112",
"telephone_number": "864-836-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-15",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "9729",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "10943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Travelers Rest, SC
- Sarah Anna Blum-Sheller, LM, CPM
- Hannah Moore Blume
- Bon Secours Medical Group Greenville Specialty Care LLC (Bon Secours Piedmont Orthopaedics-Travelers Rest)
- Olivia Booth, LMBT
- Megan McNulty Bowers, FNP
- Brett Russell Physical Therapy and Fitness LLC
- Francis William Briceland II, ATC
- Bridgestep, LLC
- Glenn T Brothers, DO
- Miranda Burgess Brunson, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.