Active NPI
Bryan R Neuwirth DDS MD PC
- Oral and Maxillofacial Surgery (Dentist)
- Hickory, NC
National Provider Identifier
1578747507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 36121
- Legal business name
- BRYAN R NEUWIRTH DDS MD PC
- Practice address
- 261 18TH St CR SE
Hickory, NC 28602-1362 - Phone
- (828) 327-7867
- Fax
- (828) 327-6299
- NPI assigned
- Dec 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rebecca B McKenzie
- Title
- Office Manager
- Phone
- (828) 327-7867
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 36121 | NC | Primary |
Addresses
Primary practice location
261 18TH St CR SE
Hickory, NC 28602-1362
Mailing address
261 18TH St CR SE
Hickory, NC 28602-1362
Phone (828) 327-7867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2339122 | Other | NC | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Hickory, NC
- NPI 1427052950
-
- Oral and Maxillofacial Surgery (Dentist)
- Hickory, NC
- NPI 1598769010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287532800000",
"number": "1578747507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 18TH ST CR SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021362",
"telephone_number": "828-327-7867",
"fax_number": "828-327-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 18TH ST CR SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021362",
"telephone_number": "828-327-7867",
"fax_number": "828-327-6299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN R NEUWIRTH DDS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2010-10-20",
"status": "A",
"authorized_official_last_name": "MCKENZIE",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "828-327-7867",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "36121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "2339122",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.