Individual provider Active NPI

Scott Michael Boyden, DDS MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Reno, NV
National Provider Identifier
1801953401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
9800 Issued in NV
Practice address
4101 Caughlin Square #5
Reno, NV 89519
Phone
(775) 827-5800
Fax
(775) 827-8837
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 9800 NV Primary

Addresses

Primary practice location

4101 Caughlin Square #5
Reno, NV 89519

Mailing address

771 Aspen Trail
Reno, NV 89519
Phone (775) 746-2472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 11, 2015 through Aug 11, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9800NVMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801953401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 ASPEN TRAIL",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89519",
            "telephone_number": "775-746-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 CAUGHLIN SQUARE #5",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89519",
            "telephone_number": "775-827-5800",
            "fax_number": "775-827-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYDEN",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "credential": "DDS MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NV",
            "license": "9800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.