Individual provider Active NPI

Benjamin F Dyer Jr., D.D.S.

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1407065402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7364 Issued in NC
Practice address
6100 Fairview Rd Ste 610
Charlotte, NC 28210-4273
Phone
(704) 554-6104
Fax
(704) 554-6004
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7364 NC Primary

Addresses

Primary practice location

6100 Fairview Rd Ste 610
Charlotte, NC 28210-4273

Mailing address

6100 Fairview Rd Ste 610
Charlotte, NC 28210-4273
Phone (704) 554-6104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210226000867 NC Practitioner - Dentist 6305149741 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7364NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hpu Health LLC CurrentSince Mar 1, 2024 Accepting new patients
East Carolina University CurrentSince Nov 18, 2020 Accepting new patients
East Carolina University Current Accepting new patients
East Carolina University CurrentSince Nov 18, 2020 Accepting new patients
Michael a. Gross, DDS, PLLC Past Accepting new patients
Benjamin F. Dyer D.D.S. General Practice Past Accepting new patients

Locations

511 Greensboro St
Asheboro, NC 27203
Phone (336) 579-1451

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

1 University Pkwy
High Point, NC 27268
Phone (336) 841-4683

107 W Naomi St
Randleman, NC 27317
Phone (336) 498-3732

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407065402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 FAIRVIEW RD STE 610",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104273",
            "telephone_number": "704-554-6104",
            "fax_number": "704-554-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 FAIRVIEW RD STE 610",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104273",
            "telephone_number": "704-554-6104",
            "fax_number": "704-554-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "BENJAMIN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.