Craig William Byers, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

5000754-015 Issued in WI

Practice address

2457 North Mayfair Road
Suite 102
Wauwatosa, WI 53226-1405

Phone

(414) 257-1221

Fax

(414) 257-1289

NPI assigned

Dec 8, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Craig W Byers LTD

  • Periodontics
  • Wauwatosa, WI
  • NPI 1285605782
  NPD (past) Authorized official
• Renita C Burrell, DDS, Ms, S.C.

  • Dental Clinic/Center
  • Milwaukee, WI
  • NPI 1598040263
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1285937557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 NORTH MAYFAIR ROAD",
            "address_2": "SUITE 102",
            "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 NORTH MAYFAIR ROAD",
            "address_2": "SUITE 102",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261405",
            "telephone_number": "414-257-1221",
            "fax_number": "414-257-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERS",
        "first_name": "CRAIG",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WI",
            "license": "5000754-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33537200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Burns, PA-C
• Burton a Waisbren MD SC
• Ashley Lauren Busalacchi, RN
• Michelle L Bush, NP
• Caroline Wheeler Butts, PA-S
• Angeline Beatrice Cain
• Glenn C Caine, D.O.
• Alexandra Campbell
• Allison Campbell
• Anna J Campbell, PH.D.

• Periodontics in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Periodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.