Organization Active NPI

Benjamin F. Dyer D.D.S.

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1235316050
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7364 Issued in NC
Legal business name
BENJAMIN F. DYER D.D.S.
Practice address
6100 Fairview Rd
Ste. 610
Charlotte, NC 28210-3277
Phone
(704) 554-6104
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Serina Marguerite Burrill
Title
Office Manager
Phone
(704) 554-6104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7364 NC Primary

Addresses

Primary practice location

6100 Fairview Rd
Ste. 610
Charlotte, NC 28210-3277

Mailing address

6100 Fairview Rd
Ste. 610
Charlotte, NC 28210-3277
Phone (704) 554-6104

National Provider Directory

National Provider Directory

Locations

6100 Fairview Rd
Ste 610
Charlotte, NC 28210
Phone (704) 554-6104

Practitioners & affiliated clinicians

Practitioners 1

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1235316050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 FAIRVIEW RD",
            "address_2": "STE. 610",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103277",
            "telephone_number": "704-554-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 FAIRVIEW RD",
            "address_2": "STE. 610",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103277",
            "telephone_number": "704-554-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN F. DYER D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "BURRILL",
        "authorized_official_first_name": "SERINA",
        "authorized_official_middle_name": "MARGUERITE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-554-6104"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.