Active NPI
Sarah Boyles, DMD
- Pediatric Dentistry
- Acworth, GA
National Provider Identifier
1700268141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN015284
- Practice address
- 954 Seven Hills Connector Rd
Suite 108
Acworth, GA 30101 - Phone
- (770) 615-8040
- NPI assigned
- Jun 22, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 9575 | KY | |
| Pediatric Dentistry | 1223P0221X | DN015284 | GA | Primary |
Addresses
Primary practice location
954 Seven Hills Connector Rd
Suite 108
Acworth, GA 30101
Mailing address
6108 Simone St
Acworth, GA 30101-1255
Phone (678) 414-8472
Other practice location 1
3698 Largent Way NW Ste 201
Marietta, GA 30064-5923
Phone (770) 420-6565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015284 | GA | MD | Pediatric Dentist |
| 9575 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grin & Company Pediatric Dentistry LLC | Pediatric Dentistry | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Acworth, GA
- NPI 1548088081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1700268141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6108 SIMONE ST",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301011255",
"telephone_number": "678-414-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 SEVEN HILLS CONNECTOR RD",
"address_2": "SUITE 108",
"city": "ACWORTH",
"state": "GA",
"postal_code": "30101",
"telephone_number": "770-615-8040"
}
],
"practiceLocations": [
{
"address_1": "3698 Largent Way NW Ste 201",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300645923",
"country_code": "US",
"telephone_number": "770-420-6565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYLES",
"first_name": "SARAH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-22",
"last_updated": "2024-10-03",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "9575",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN015284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.