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DR. BRENT RUSSELL BOYSE DDS
NPI 1609853365
Dentist - Oral and Maxillofacial Surgery in Mesa, AZ

Active since December 23, 2005PECOS Enrolled
6755 E SUPERSTITION SPRINGS BLVD, SUITE 103, MESA, AZ 85206(480) 830-5866(480) 807-0606 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brent Russell Boyse Dds NPPES

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

DR. BRENT RUSSELL BOYSE DDS (NPI 1609853365) is an individual oral and maxillofacial surgery provider in Mesa, Arizona, licensed in Arizona (5371) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609853365
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRENT RUSSELL BOYSECredential: DDS
Location Address6755 E SUPERSTITION SPRINGS BLVD, SUITE 103Mesa, AZ 85206-4373
Mailing Address6755 E Superstition Springs Blvd, Suite 103Mesa, AZ 85206-4373 · (480) 830-5866 · Fax (480) 807-0606
Phone(480) 830-5866
Fax(480) 807-0606
Sole ProprietorNo
Enumeration DateDecember 23, 2005
Last NPPES UpdateDecember 4, 2018
✔ NPI 1609853365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AZ · 5371
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
6755 E SUPERSTITION SPRINGS BLVD, Mesa, AZ 85206
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Other Identifiers 2

Medicaid1612346AZ
OtherAZ0415850AZ · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brent Russell Boyse Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRADLEY THAIN PORTER DDS
Dentist (Oral and Maxillofacial Surgery)
6755 E SUPERSTITION SPRINGS BLVD, SUITE 103
MESA, AZ 85206
Maricopa County (480) 830-5866
ROLLINS & PETERSEN ORTHODONTICS PLC
Dentist (Orthodontics and Dentofacial Orthopedics)
6755 E SUPERSTITION SPRINGS BLVD, STE 201
MESA, AZ 85206
Maricopa County (480) 924-2880
EAST VALLEY PERIODONTICS
Dentist (Periodontics)
6755 E SUPERSTITION SPRINGS BLVD, STE. 102
MESA, AZ 85206
Maricopa County (480) 218-7590
MARK S. HAMBLIN, D.D.S., P.C.
Dentist
6755 E SUPERSTITION SPRINGS BLVD, SUITE #202
MESA, AZ 85206
Maricopa County (480) 981-3311
ARLON M PETERSEN DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
6755 E SUPERSTITION SPRINGS BLVD, STE 201
MESA, AZ 85206
Maricopa County (480) 924-2880
DERRICK J DICKERSON DMD
Dentist (General Practice)
6755 E SUPERSTITION SPRINGS BLVD, 203
MESA, AZ 85206
Maricopa County (480) 218-6030
DICKERSON ENTERPRISES, INCORPORATED
Dentist
6755 E SUPERSTITION SPRINGS BLVD, SUITE 203
MESA, AZ 85206
Maricopa County (480) 218-6030
DR. MARK S. HAMBLIN D.D.S.
Dentist (General Practice)
6755 E SUPERSTITION SPRINGS BLVD, SUITE #202
MESA, AZ 85206
Maricopa County (480) 981-3311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Boyse's NPI number?

The NPI number for Brent Boyse is 1609853365. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Brent Boyse located?

Brent Boyse practices at 6755 E Superstition Springs Blvd Suite 103, Mesa, AZ 85206. The listed phone number is (480) 830-5866.

What is Brent Boyse's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Brent Boyse enrolled in Medicare?

Yes. Brent Boyse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brent Boyse was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.