DENNIS BOYNTON JR.
NPI 1265235683
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Dennis Boynton's NPI number?

The NPI number for Dennis Boynton is 1265235683. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Q: What is Dennis Boynton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Dennis Boynton was last updated on April 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2025PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2025, Mar 31, 2025 (2 updates tracked since 2025).

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About Dennis Boynton Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENNIS BOYNTON JR. (NPI 1265235683) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265235683

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDENNIS BOYNTON JR.

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address2300 Valleywood Dr Se Apt H1Grand Rapids, MI 49546-5734 · (231) 330-7781

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateMarch 31, 2025

Last NPPES UpdateApril 7, 20252 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1265235683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dennis Boynton Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.