NPIMap

Organization Active NPI

Boyd Dental Corporation

  • Dentist
  • Indio, CA
National Provider Identifier
1679773535
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38650 Issued in CA
Legal business name
BOYD DENTAL CORPORATION
Practice address
44100 Jefferson St # D
Suite 404
Indio, CA 92201-2712
Phone
(760) 772-0214
Fax
(760) 772-0583
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Ms. Monica L Dubois
Title
Administrator
Phone
(760) 772-0214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 38650 CA Primary

Addresses

Primary practice location

44100 Jefferson St # D
Suite 404
Indio, CA 92201-2712

Mailing address

44100 Jefferson St # D
Suite 404
Indio, CA 92201-2712
Phone (760) 772-0214

National Provider Directory

National Provider Directory
Tax ID family
Alicia Orthodontic Pediatric Specialties4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

44100 Jefferson St
Ste D404
Indio, CA 92201
Phone (760) 772-0214

Practitioners & affiliated clinicians

Practitioners 6

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1679773535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44100 JEFFERSON ST # D",
            "address_2": "SUITE 404",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922012712",
            "telephone_number": "760-772-0214",
            "fax_number": "760-772-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44100 JEFFERSON ST # D",
            "address_2": "SUITE 404",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922012712",
            "telephone_number": "760-772-0214",
            "fax_number": "760-772-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-772-0214",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.