Organization Active NPI

John W Byers, DDS, PLLC

  • Advanced Practice Dental Therapist
  • Grafton, WV
National Provider Identifier
1215458864
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
12507 Issued in WV
Legal business name
JOHN W BYERS, DDS, PLLC
Practice address
122 Yates Ave
Grafton, WV 26354
Phone
(304) 265-2438
Fax
(304) 265-1545
NPI assigned
Jul 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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

Authorized official

Name
Mr. John William Byers, DDSNPI 1508842345
Title
Owner
Phone
(304) 265-2438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Dental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 125K00000X 12507 WV Primary

Addresses

Primary practice location

122 Yates Ave
Grafton, WV 26354

Mailing address

122 Yates Ave
Grafton, WV 26354
Phone (304) 265-2438

Other identifiers 1

IdentifierTypeStateIssuer
0136411000MedicaidWV

National Provider Directory

National Provider Directory

Locations

122 Yates Ave
Grafton, WV 26354
Phone (304) 265-2438

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499212800000",
    "number": "1215458864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 YATES AVE",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "26354",
            "telephone_number": "304-265-2438",
            "fax_number": "304-265-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 YATES AVE",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "26354",
            "telephone_number": "304-265-2438",
            "fax_number": "304-265-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W BYERS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-265-2438",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Dental Therapist",
            "state": "WV",
            "license": "12507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136411000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.