William Irby Jr DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005837 Issued in VA

Legal business name

WILLIAM IRBY JR DDS PC

Practice address

107 S. Broad St.
Kenbridge, VA 23944

Phone

(434) 676-8001

Fax

(434) 676-8002

NPI assigned

Sep 29, 2006

Organization subpart

No

Name

Dr. William Irby Jr., DDS

Title

President

Phone

(434) 676-8001

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lewis W. Irby Jr., DDS

  • General Practice Dentistry
  • Blackstone, VA
  • NPI 1356529556

  General Practice

  NPD (past)

Locations

• William Irby Jr DDS PC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2018.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1487746822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "KENBRIDGE",
            "state": "VA",
            "postal_code": "239440397",
            "telephone_number": "434-676-8001",
            "fax_number": "434-676-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S. BROAD ST.",
            "city": "KENBRIDGE",
            "state": "VA",
            "postal_code": "23944",
            "telephone_number": "434-676-8001",
            "fax_number": "434-676-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 S Main St",
            "address_purpose": "LOCATION",
            "city": "Blackstone",
            "state": "VA",
            "postal_code": "23824",
            "country_code": "US",
            "telephone_number": "434-292-3695",
            "fax_number": "434-292-5669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLIAM IRBY JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "IRBY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-676-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William Irby Jr DDS PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "William Irby Jr DDS PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doretha Jones Smith
• Smiths Pharmacy & Home Health Care Center of Kenbridge Inc
• Southside Medical Management
• Southside Medical Management Inc
• Three Rivers Treatment Center LLC
• Kevin Witty, R.N.
• Cristyl Hawthorne Word, LPC, CSOTP

• All providers in Kenbridge, VA
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.