Active NPI
Thompson Greig Boyd, DDS PC
- General Practice Dentistry
- North Muskegon, MI
National Provider Identifier
1962574129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9034
- Practice address
- 200 Holton Rd
Suite H
North Muskegon, MI 49445 - Phone
- (231) 719-8600
- Fax
- (231) 719-8600
- NPI assigned
- Nov 14, 2006
- 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 | 9034 | MI | Primary |
Addresses
Primary practice location
200 Holton Rd
Suite H
North Muskegon, MI 49445
Mailing address
200 Holton Rd
Suite H
North Muskegon, MI 49445
Phone (231) 719-8600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2977407 | Other | MEDICAID TYPE 10 | |
| 4020709 | Medicaid | MI |
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 |
|---|---|---|---|
| 9034 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962574129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HOLTON RD",
"address_2": "SUITE H",
"city": "NORTH MUSKEGON",
"state": "MI",
"postal_code": "49445",
"telephone_number": "231-719-8600",
"fax_number": "231-719-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOLTON RD",
"address_2": "SUITE H",
"city": "NORTH MUSKEGON",
"state": "MI",
"postal_code": "49445",
"telephone_number": "231-719-8600",
"fax_number": "231-719-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "THOMPSON",
"middle_name": "GREIG",
"name_prefix": "Dr.",
"credential": "DDS PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "9034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID TYPE 10",
"identifier": "2977407",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4020709",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.