Keith E. Boyd Jr DDS PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

4121 Issued in AZ

Legal business name

KEITH E. BOYD JR DDS PC

Practice address

3003 Highway 95
Suite 103
Bullhead City, AZ 86442-7860

Phone

(928) 763-5777

Fax

(928) 763-6007

NPI assigned

Jul 9, 2008

Last updated

Jul 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith Edward Boyd Jr., DDS

Title

Dentist

Phone

(928) 763-5777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith E Boyd, Jr, DDS

  • Periodontics
  • Bullhead City, AZ
  • NPI 1275618837
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1952564841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 HIGHWAY 95",
            "address_2": "SUITE 103",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427860",
            "telephone_number": "928-763-5777",
            "fax_number": "928-763-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HIGHWAY 95",
            "address_2": "SUITE 103",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427860",
            "telephone_number": "928-763-5777",
            "fax_number": "928-763-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH E. BOYD JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "928-763-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "4121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Just for Kids Dental Group Bullhead, PLLC (Just For Kids Dentistry)
• Just for Kids Dentistry Bullhead, PLLC
• Ammar Kafa, M.D.
• Michael David Kantor, DDS
• Larry Joseph Keating, PAC
• Violeta Andres Kelley, M.D.
• Christopher Allen Kennedy, PHARMD
• Kerry's Medical Inc
• Khatib Family Practice PLC
• Nadim B Khatib, M.D.

• Periodontics in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.