Bodnar & Wyatt, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BODNAR & WYATT, PLLC

Doing business as

Cataloochee Dental Group

Practice address

103 Haywood Park Dr
Clyde, NC 28721-4405

Phone

(828) 627-1050

Fax

(828) 627-1056

NPI assigned

Jul 19, 2006

Last updated

Oct 2, 2013By 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

Renee S. Benge

Title

Cdpma

Phone

(828) 627-1050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cataloochee Dental Group Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bodnar & Wyatt, PLLC

  dba Cataloochee Dental Asheville

  • General Practice Dentistry
  • Asheville, NC
  • NPI 1417385907
  NPPES parent name

Practitioners 2

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.

• Jacob Ross House, D.M.D.

  • Dentist
  • Franklin, NC
  • NPI 1689305039
  NPD (past)
• Chrislyn Lee Fite, DMD

  • Dentist
  • Bowling Green, KY
  • NPI 1962079806
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1023037264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HAYWOOD PARK DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287214405",
            "telephone_number": "828-627-1050",
            "fax_number": "828-627-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HAYWOOD PARK DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287214405",
            "telephone_number": "828-627-1050",
            "fax_number": "828-627-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODNAR & WYATT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "BENGE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CDPMA",
        "authorized_official_telephone_number": "828-627-1050"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902433",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cataloochee Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Ridge Community Health Services, Inc (Haywood Health Center)
• Blue Ridge Community Health Services, Inc (Blue Ridge Health-Haywood Pharmacy)
• Blue Ridge Dermatology PA
• Blue Ridge Family Practice Assoc
• Blue Ridge Ultrasound, Inc.
• Jason Bodnar, DMD
• Harold Breakey
• Colin James Bridger, MPT
• Cacye Burbach
• Daryn Burgdorf, PT

• General Practice Dentistry in Clyde, NC
• Providers in Clyde, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.