Lewis W. Irby Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005837 Issued in VA

Practice address

929 S Main St
Blackstone, VA 23824-2610

Phone

(434) 292-3695

Fax

(434) 292-5669

NPI assigned

Feb 11, 2008

Last updated

Feb 11, 2008By the provider in NPPES

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 4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phillip D Prater DDD PLLC

  • Dentist
  • Blackstone, VA
  • NPI 1891186441
  NPD (past)
• William Irby Jr DDS PC

  • General Practice Dentistry
  • Kenbridge, VA
  • NPI 1487746822
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1356529556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238240458",
            "telephone_number": "434-292-3695",
            "fax_number": "434-292-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 S MAIN ST",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238242610",
            "telephone_number": "434-292-3695",
            "fax_number": "434-292-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRBY",
        "first_name": "LEWIS",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007817746",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "13625",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "113167",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "45334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Giannini, MS
• Kimberly S Gold, LPT
• Georgeann Goldsberry
• Anizha Henderson
• Omar Sharif Higgins
• Jan's Residential Homes
• Christy T Johnson-Oliver, NP
• Laboratory Corporation of America Holdings
• Shantel Latta, FNP-C
• Allison Noel Lee, NP

• General Practice Dentistry in Blackstone, VA
• Providers in Blackstone, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.