Calvin V Boykin Sr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2070 Issued in SC

Practice address

656 Bultman Dr
Sumter, SC 29150-2550

Phone

(803) 778-2337

Fax

(803) 778-2252

NPI assigned

Jul 21, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crescent Family and Cosmetic Dentistry

  • General Practice Dentistry
  • Sumter, SC
  • NPI 1730909276
  NPD (past)
• Palmetto Family & Cosmetic Dentistry

  • Dental Clinic/Center
  • Sumter, SC
  • NPI 1710623525
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902827611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 BULTMAN DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502550",
            "telephone_number": "803-778-2337",
            "fax_number": "803-778-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 BULTMAN DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502550",
            "telephone_number": "803-778-2337",
            "fax_number": "803-778-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "CALVIN",
        "middle_name": "V",
        "name_suffix": "Sr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z20709",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Elizabeth Booth-Poplin, PH
• Steven Jon Bosc II, PA-C
• Boulevard Taxi Express LLC
• Brandyn Ham Bowers, REGISTERED NURSE
• Kimberly Boyd
• Kayla Knopf Boykin, APRN, FNP-BC
• Brian Timothy Bracken, DMD
• Heather Lynn Bradford, OTR/L
• Charlene Bradley
• Marchelle K Bradley

• Dentist in Sumter, SC
• Providers in Sumter, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.