Active NPI
Shana R Warren-Byers, D.D.S.
- General Practice Dentistry
- Huntsville, AL
National Provider Identifier
1033290697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4890AL
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529800390 | Medicaid | AL | |
| 000077461 | Medicaid | AL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220503001680 | AL | Order and Referring Only - Dentist | 6406243831 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4890AL | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Huntsville, AL
- NPI 1952581936
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.