Organization Active NPI

Debra a. Byers, DMD, PC

Doing business as Loch Dental Care

  • General Practice Dentistry
  • Geneva, NY
National Provider Identifier
1649542135
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
038765 Issued in NY
Legal business name
DEBRA A. BYERS, DMD, PC
Doing business as
Loch Dental Care
Practice address
789 Canandaigua Rd
Geneva, NY 14456-2001
Phone
(315) 781-9040
NPI assigned
Jan 31, 2012
Last updated
Oct 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Ms. Micheal Stahl, DMD
Title
General Dentist
Phone
(315) 781-9040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 038765 NY Primary

Addresses

Primary practice location

789 Canandaigua Rd
Geneva, NY 14456-2001

Mailing address

789 Canandaigua Rd
Geneva, NY 14456-2001
Phone (315) 781-9040

Other identifiers 1

IdentifierTypeStateIssuer
02172925MedicaidNY

Other names 1

  • Loch Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

789 Canandaigua Rd
Geneva, NY 14456
Phone (315) 781-9040

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1649542135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CANANDAIGUA RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562001",
            "telephone_number": "315-781-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CANANDAIGUA RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562001",
            "telephone_number": "315-781-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA A. BYERS, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "315-781-9040",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02172925",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loch Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.