Chris Gilbert Boyd, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MS2646-91 Issued in MS

Practice address

716 Brookhaven Street
Monticello, MS 39654

Phone

(601) 587-2838

NPI assigned

May 23, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881804532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396540997",
            "telephone_number": "601-587-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 BROOKHAVEN STREET",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "39654",
            "telephone_number": "601-587-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "CHRIS",
        "middle_name": "GILBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "MS2646-91",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660208",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bathsheba Nicole Badon, PMHNP-BC
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• Armanda L. Bourne, PT
• Doretha Bournes, NP
• Constance M. Bradford, FNP-C
• Brenco
• Bridges Professional Counseling and Consulting LLC
• Kelly Mackenzie Brister, COTA
• Amy Eaton Broome, PTA

• General Practice Dentistry in Monticello, MS
• Providers in Monticello, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.