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1275618837 NPI number — KEITH E BOYD, JR DDS

NPI Number: 1275618837
Health Care Provider/Practitioner: KEITH E BOYD, JR DDS

Information about “1275618837” NPI (KEITH E BOYD, JR DDS) exists in 1275618837 in HTML format HTML  |  1275618837 in plain Text format TXT  |  1275618837 in PDF (Portable Document Format) PDF  |  1275618837 in an XML format XML  formats.

NPI Number : 1275618837 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275618837",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOYD, JR",
    "FirstName": "KEITH",
    "MiddleName": "E",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2006 MOUNTAIN VIEW LOOP",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BULLHEAD CITY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86426-9299",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "928-768-6258",
    "MailingAddressFaxNumber": "928-763-6007",
    "FirstLinePracticeLocationAddress": "3003 HIGHWAY 95 STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BULLHEAD CITY",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86442-7802",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-763-5777",
    "PracticeLocationAddressFaxNumber": "928-763-6007",
    "EnumerationDate": "10/25/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223P0300X",
        "TaxonomyName": "Periodontics",
        "LicenseNumber": "4121",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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