Organization Active NPI

Malcolm J Boykin DDS Inc

  • Dentist
  • Ramona, CA
National Provider Identifier
1801278601
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MALCOLM J BOYKIN DDS INC
Practice address
2005 Main St
Ramona, CA 92065-2504
Phone
(760) 789-2330
Fax
(760) 789-2135
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Malcolm Boykin
Title
DDS
Phone
(760) 789-2330

Specialties & licenses 1

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

Addresses

Primary practice location

2005 Main St
Ramona, CA 92065-2504

Mailing address

2005 Main St
Ramona, CA 92065-2504
Phone (760) 789-2330

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1801278601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 MAIN ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652504",
            "telephone_number": "760-789-2330",
            "fax_number": "760-789-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 MAIN ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652504",
            "telephone_number": "760-789-2330",
            "fax_number": "760-789-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM J BOYKIN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "BOYKIN",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "760-789-2330"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.