Individual provider Active NPI

Barry C Boyd, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
National Provider Identifier
1740232263
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
G30000446 Issued in DE
Practice address
501 W 14TH St
Suite 2W44
Wilmington, DE 19801-1013
Phone
(302) 320-5730
Fax
(302) 320-5733
NPI assigned
May 16, 2006
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 044796 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X G30000446 DE Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 2085951 NY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X C1-0011778 DE

Addresses

Primary practice location

501 W 14TH St
Suite 2W44
Wilmington, DE 19801-1013

Mailing address

200 Hygeia Dr
Suite 2300
Newark, DE 19713-2049

Other identifiers 2

IdentifierTypeStateIssuer
01702047MedicaidNY
01181424MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160711001006 DE Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 8729258181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Univ of Pittsburgh School of Dental Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-5730

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G30000446DEMDOral and Maxillofacial Surgery (Dentist)
044796NYMDOral and Maxillofacial Surgery (Dentist)
C1-0011778DEMDOral & Maxillofacial Surgery (D.M.D.)
2085951NYMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Oral and Maxillofacial Surgery CurrentSince Jul 3, 2016 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 3, 2016 Accepting new patients
University Dental Associates, Inc. Past Accepting new patients
Ub Oral & Maxillofacial Surgery, Inc Oral and Maxillofacial Surgery PastSince Jul 3, 2011 Accepting new patients

Locations

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Ste 2W44
Wilmington, DE 19801
Phone (302) 320-5730

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1740232263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "address_2": "SUITE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST",
            "address_2": "SUITE 2W44",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-320-5730",
            "fax_number": "302-320-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "BARRY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "044796",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DE",
            "license": "G30000446",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "2085951",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "DE",
            "license": "C1-0011778",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01702047",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01181424",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.