Individual provider Active NPI

Amy Michelle Batten Bryan, DDS

  • General Practice Dentistry
  • Goldsboro, NC
National Provider Identifier
1073614731
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7406 Issued in NC
Practice address
2300 Wayne Memorial Dr Ste I
Goldsboro, NC 27534-1747
Phone
(919) 734-0922
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7406 NC Primary

Addresses

Primary practice location

2300 Wayne Memorial Dr Ste I
Goldsboro, NC 27534-1747

Mailing address

2300 Wayne Memorial Dr Ste I
Goldsboro, NC 27534-1747
Phone (919) 734-0922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160630000819 NC Order and Referring Only - DentistPractitioner - Dentist 1850683400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1073614731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WAYNE MEMORIAL DR STE I",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341747",
            "telephone_number": "919-734-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WAYNE MEMORIAL DR STE I",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341747",
            "telephone_number": "919-734-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTEN BRYAN",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.