N. Tyrus Ivey, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7326 Issued in GA

Legal business name

N. TYRUS IVEY, DDS, PC

Practice address

1902 Forsyth St
Suite C
Macon, GA 31201-8132

Phone

(478) 741-0044

Fax

(478) 745-5061

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Norman Tyrus Ivey, DDSNPI 1033238795

Title

President

Phone

(478) 741-0044

Specialties & licenses 1

Addresses

Locations

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.

• Norman Tyrus Ivey, DDS

  • Dentist
  • Macon, GA
  • NPI 1033238795
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467571125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 FORSYTH ST",
            "address_2": "SUITE C",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018132",
            "telephone_number": "478-741-0044",
            "fax_number": "478-745-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 FORSYTH ST",
            "address_2": "SUITE C",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018132",
            "telephone_number": "478-741-0044",
            "fax_number": "478-745-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N. TYRUS IVEY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "TYRUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-741-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "7326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valencia Natavious Myrick
• Flesha Myricks, LPN
• Gary Jonathan Myrthil, MD
• Elijah Myrtil
• Mythic Eyewear LLC
• Nehal Nadeem, M.D.
• Zahra Naderi, MD
• Shanzae Naeem, M.D.
• Sushmita Nair, MD
• Shuichi Nakai, MD

• Dental Clinic/Center in Macon, GA
• Providers in Macon, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.