Active NPI
William Rulie Wilson Boyles III, MSW
- Social Worker
- Anchorage, AK
National Provider Identifier
1750801643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 123607
- Practice address
- 1201 N Muldoon Rd
Anchorage, AK 99504-6104 - Phone
- (907) 350-7092
- NPI assigned
- Jun 22, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 123607 | AK | Primary |
Addresses
Primary practice location
1201 N Muldoon Rd
Anchorage, AK 99504-6104
Mailing address
200 W 34TH Ave # 702
Anchorage, AK 99503-3969
Phone (907) 350-7092
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 |
|---|---|---|---|
| 123607 | AK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498089600000",
"number": "1750801643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W 34TH AVE # 702",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033969",
"telephone_number": "907-350-7092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N MULDOON RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995046104",
"telephone_number": "907-350-7092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLES",
"first_name": "WILLIAM",
"middle_name": "RULIE WILSON",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-22",
"last_updated": "2017-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AK",
"license": "123607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.