NPIMap

Organization Active NPI

Gary D Oyster DDS PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1386717510
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3817 Issued in NC
Legal business name
GARY D OYSTER DDS PA
Practice address
4901 Leigh Drive
Raleigh, NC 27616
Phone
(919) 876-2087
Fax
(919) 981-0382
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Dr. Gary Donald Oyster, DDSNPI 1457481301
Title
General Dentist Owner
Phone
(919) 876-2087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3817 NC Primary

Addresses

Primary practice location

4901 Leigh Drive
Raleigh, NC 27616

Mailing address

4901 Leigh Drive
Raleigh, NC 27616
Phone (919) 876-2087

Other identifiers 2

IdentifierTypeStateIssuer
419149OtherUNITED CONCORDIA
8996572MedicaidNC

National Provider Directory

National Provider Directory

Locations

4901 Leigh Dr
Raleigh, NC 27616
Phone (919) 876-2087

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1386717510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LEIGH DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27616",
            "telephone_number": "919-876-2087",
            "fax_number": "919-981-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LEIGH DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27616",
            "telephone_number": "919-876-2087",
            "fax_number": "919-981-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D OYSTER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "OYSTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "GENERAL DENTIST OWNER",
        "authorized_official_telephone_number": "919-876-2087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "419149",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996572",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.