Active NPI
Charles Brent Boyd, DDS
- Pediatric Dentistry
- Temple, TX
National Provider Identifier
1841304292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 16479
- Practice address
- 5008 Midway Dr
Temple, TX 76502-1416 - Phone
- (254) 771-2515
- Fax
- (254) 771-1955
- NPI assigned
- Aug 19, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 16479 | TX | Primary |
Addresses
Primary practice location
5008 Midway Dr
Temple, TX 76502-1416
Mailing address
5008 Midway Dr
Temple, TX 76502-1416
Phone (254) 771-2515
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 |
|---|---|---|---|
| 16479 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1841304292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 MIDWAY DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765021416",
"telephone_number": "254-771-2515",
"fax_number": "254-771-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5008 MIDWAY DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765021416",
"telephone_number": "254-771-2515",
"fax_number": "254-771-1955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "CHARLES",
"middle_name": "BRENT",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "16479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.