Tab a Boyle DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36862 Issued in CA

Legal business name

TAB A BOYLE DDS

Practice address

44950 Valley Central Way
Ste 1-107
Lancaster, CA 93536-7209

Phone

(661) 940-6350

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Beverly Dalby

Title

Office Supervisor

Phone

(661) 940-6350

Specialties & licenses 1

Addresses

Tax ID family

Dr Tab a Boyle2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dr. Tab a. Boyle

  • Health Maintenance Organization
  • Lancaster, CA
  • NPI 1295907517
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tab A. Boyle, D.D.S.

  • General Practice Dentistry
  • Lancaster, CA
  • NPI 1750437299
  NPD (past)

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1689021255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44950 VALLEY CENTRAL WAY",
            "address_2": "STE 1-107",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44950 VALLEY CENTRAL WAY",
            "address_2": "STE 1-107",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367209",
            "telephone_number": "661-940-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAB A BOYLE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "DALBY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "661-940-6350"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lancaster, CA
• Providers in Lancaster, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.