Organization Active NPI

Bryan W. Danhires, DPM PLLC

  • Foot & Ankle Surgery Podiatrist
  • Clarksburg, WV
National Provider Identifier
1295916047
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
WV 000371 Issued in WV
Legal business name
BRYAN W. DANHIRES, DPM PLLC
Practice address
300 Buckhannon Pike
Clarksburg, WV 26301-3947
Phone
(304) 623-1991
Fax
(304) 622-6824
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Bryan William Danhires, DPM
Title
Owner
Phone
(304) 623-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X WV 000371 WV Primary

Addresses

Primary practice location

300 Buckhannon Pike
Clarksburg, WV 26301-3947

Mailing address

300 Buckhannon Pike
Clarksburg, WV 26301-3947
Phone (304) 623-1991

Other identifiers 3

IdentifierTypeStateIssuer
BR9341401OtherWVMEDICARE GROUP
DB0339OtherWVMCRRRB
2102035000MedicaidWV

Other names 1

  • The Foot and Ankle Center of Clarksburg Doing business as

National Provider Directory

National Provider Directory

Locations

300 Buckhannon Pike
Clarksburg, WV 26301
Phone (304) 623-1991

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10290/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1295916047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BUCKHANNON PIKE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263013947",
            "telephone_number": "304-623-1991",
            "fax_number": "304-622-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BUCKHANNON PIKE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263013947",
            "telephone_number": "304-623-1991",
            "fax_number": "304-622-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN W. DANHIRES, DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "DANHIRES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-623-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "WV 000371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "BR9341401",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRRRB",
            "identifier": "DB0339",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102035000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foot and Ankle Center of Clarksburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.