Individual provider Active NPI

Kayanna Sayre-Poe, DDS

  • Dentist
  • Point Pleasant, WV
National Provider Identifier
1366827107
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4181 Issued in WV
Practice address
5527 Ohio River Rd
Point Pleasant, WV 25550-9203
Phone
(304) 882-3136
Fax
(304) 882-3136
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4181 WV Primary

Addresses

Primary practice location

5527 Ohio River Rd
Point Pleasant, WV 25550-9203

Mailing address

5527 Ohio River Rd
Point Pleasant, WV 25550-9203
Phone (304) 882-3136

Other practice location 1

220 5th Street
New Haven, WV 25265
Phone (304) 882-3136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160324002102 WV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7517264187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1366827107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 OHIO RIVER RD",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255509203",
            "telephone_number": "304-882-3136",
            "fax_number": "304-882-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 OHIO RIVER RD",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255509203",
            "telephone_number": "304-882-3136",
            "fax_number": "304-882-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 5th Street",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "WV",
            "postal_code": "25265",
            "country_code": "US",
            "telephone_number": "304-882-3136",
            "fax_number": "304-882-3136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAYRE-POE",
        "first_name": "KAYANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant, WV

Sources for this page

Verify at the official NPI Registry.