Individual provider Active NPI

Shana R Warren-Byers, D.D.S.

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1033290697
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4890AL Issued in AL
Practice address
6275 University Dr NW # 37-127
Huntsville, AL 35806-1776
Phone
(256) 539-3373
Fax
(256) 539-3365
NPI assigned
Oct 18, 2006
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7256 TN
General Practice Dentistry 1223G0001X 4890AL AL Primary

Addresses

Primary practice location

6275 University Dr NW # 37-127
Huntsville, AL 35806-1776

Mailing address

6275 University Dr NW # 37-127
Huntsville, AL 35806-1776
Phone (256) 833-3966

Other practice location 1

1005 Dr D B Todd Blvd
Nashville, TN 37208
Phone (615) 327-6870

Other identifiers 2

IdentifierTypeStateIssuer
529800390MedicaidAL
000077461MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220503001680 AL Order and Referring Only - DentistPractitioner - Dentist 6406243831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4890ALALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Miles of Smiles Dental Center, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1033290697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 UNIVERSITY DR NW # 37-127",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061776",
            "telephone_number": "256-833-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 UNIVERSITY DR NW # 37-127",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061776",
            "telephone_number": "256-539-3373",
            "fax_number": "256-539-3365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Dr D B Todd Blvd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37208",
            "country_code": "US",
            "telephone_number": "615-327-6870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN-BYERS",
        "first_name": "SHANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7256",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4890AL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529800390",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000077461",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.