Organization Active NPI

Nick Boyd DDS LLC

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1952154015
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NICK BOYD DDS LLC
Practice address
528 College Pkwy Ste a
Annapolis, MD 21409-4694
Phone
(410) 757-7070
NPI assigned
Apr 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Nicholas Boyd, DDSNPI 1942795562
Title
Owner
Phone
(410) 757-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

528 College Pkwy Ste a
Annapolis, MD 21409-4694

Mailing address

528 College Pkwy Ste a
Annapolis, MD 21409-4694
Phone (410) 757-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241230001305 MD DME Supplier - Oral Surgery - Dentist 8628505880 Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

528 College Pkwy
Ste A
Annapolis, MD 21409
Phone (410) 757-7070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1952154015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 COLLEGE PKWY STE A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214094694",
            "telephone_number": "410-757-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 COLLEGE PKWY STE A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214094694",
            "telephone_number": "410-757-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK BOYD DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-757-7070",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.