Active NPI
Nicholas Boyd, DDS
- General Practice Dentistry
- Burtonsville, MD
National Provider Identifier
1942795562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16450
- Practice address
- 3905 National Dr Ste 170
Burtonsville, MD 20866-6102 - Phone
- (301) 989-0088
- NPI assigned
- Jun 26, 2018
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16450 | MD | Primary |
Addresses
Primary practice location
3905 National Dr Ste 170
Burtonsville, MD 20866-6102
Mailing address
1769 Rochester St
Crofton, MD 21114-2611
Other practice location 1
1375 Defense Hwy
Gambrills, MD 21054-1903
Phone (410) 721-7020
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 |
|---|---|---|---|
| 16450 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nick Boyd DDS LLC | General Practice | Current | Accepting new patients |
| Eric a Endres DDS LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Annapolis, MD
- NPI 1952154015
-
- Dental Clinic/Center
- Burtonsville, MD
- NPI 1528991320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1942795562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1769 ROCHESTER ST",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 NATIONAL DR STE 170",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208666102",
"telephone_number": "301-989-0088"
}
],
"practiceLocations": [
{
"address_1": "1375 Defense Hwy",
"address_purpose": "LOCATION",
"city": "Gambrills",
"state": "MD",
"postal_code": "210541903",
"country_code": "US",
"telephone_number": "410-721-7020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYD",
"first_name": "NICHOLAS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-26",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "16450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burtonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.