Active NPI
Paul D Byerly, DDS, MS
- Periodontics
- Burlington, NC
National Provider Identifier
1366528853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 7414
- Practice address
- 1635 Memorial Dr
Burlington, NC 27215-3517 - Phone
- (336) 227-0175
- Fax
- (336) 229-0176
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 7414 | NC | Primary |
Addresses
Primary practice location
1635 Memorial Dr
Burlington, NC 27215-3517
Mailing address
1635 Memorial Dr
Burlington, NC 27215-3517
Phone (336) 227-0175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7414 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366528853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 MEMORIAL DR",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272153517",
"telephone_number": "336-227-0175",
"fax_number": "336-229-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 MEMORIAL DR",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272153517",
"telephone_number": "336-227-0175",
"fax_number": "336-229-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYERLY",
"first_name": "PAUL",
"middle_name": "D",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NC",
"license": "7414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.