Individual provider Active NPI

Eyman Sammy Zaitar

  • Dentist
  • Barboursville, WV
National Provider Identifier
1376396473
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4705 Issued in WV
Practice address
29 Tanyard Station Dr
Barboursville, WV 25504-1168
Phone
(304) 948-2006
NPI assigned
Apr 9, 2024
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4705 WV Primary
General Practice Dentistry 1223G0001X D-00160 KY
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

29 Tanyard Station Dr
Barboursville, WV 25504-1168

Mailing address

11 Country Oaks Dr
Barboursville, WV 25504-9444
Phone (256) 348-1159

Other practice location 1

500 Winchester Ave
Ashland, KY 41101-7362
Phone (606) 324-0800

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D-00160KYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1376396473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COUNTRY OAKS DR",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255049444",
            "telephone_number": "256-348-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TANYARD STATION DR",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041168",
            "telephone_number": "304-948-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Winchester Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017362",
            "country_code": "US",
            "telephone_number": "606-324-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAITAR",
        "first_name": "EYMAN",
        "middle_name": "SAMMY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4705",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "D-00160",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.