NPIMap

Organization Active NPI

Dr Craig W Byers LTD

  • Periodontics
  • Wauwatosa, WI
National Provider Identifier
1285605782
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
50007S4 015 Issued in WI
Legal business name
DR CRAIG W BYERS LTD
Practice address
2457 N Mayfair Rd
# 102 Dr Craig W Byers
Wauwatosa, WI 53226-1405
Phone
(414) 257-1221
Fax
(414) 257-1289
NPI assigned
Feb 1, 2006
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Dr. Craig W Byers, DDSNPI 1285937557
Title
President
Phone
(414) 257-1221

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
Periodontics 1223P0300X 50007S4 015 WI Primary

Addresses

Primary practice location

2457 N Mayfair Rd
# 102 Dr Craig W Byers
Wauwatosa, WI 53226-1405

Mailing address

2457 N Mayfair Rd
# 102 Dr Craig W Byers
Wauwatosa, WI 53226-1405
Phone (414) 257-1221

Other identifiers 1

IdentifierTypeStateIssuer
33537200MedicaidWI

Other names 1

  • Craig W. Byers DDS Other name

National Provider Directory

National Provider Directory

Locations

2457 N Mayfair Rd
Ste 102
Wauwatosa, WI 53226
Phone (414) 257-1221

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1285605782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 N MAYFAIR RD",
            "address_2": "# 102 DR CRAIG W BYERS",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261405",
            "telephone_number": "414-257-1221",
            "fax_number": "414-257-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 N MAYFAIR RD",
            "address_2": "# 102 DR CRAIG W BYERS",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261405",
            "telephone_number": "414-257-1221",
            "fax_number": "414-257-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CRAIG W BYERS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-257-1221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WI",
            "license": "50007S4 015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33537200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig W. Byers DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.