Organization Active NPI

Clay B. Dyar, III, D.M.D.

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1679799670
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
SC2171 Issued in SC
Legal business name
CLAY B. DYAR, III, D.M.D.
Practice address
9610 Two Notch Rd
Suite 4
Columbia, SC 29223-1601
Phone
(803) 788-0976
Fax
(803) 788-0974
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Clay B. Dyar III, DMD
Title
Dentist
Phone
(803) 788-0976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X SC2171 SC Primary

Addresses

Primary practice location

9610 Two Notch Rd
Suite 4
Columbia, SC 29223-1601

Mailing address

9610 Two Notch Rd
Suite 4
Columbia, SC 29223-1601
Phone (803) 788-0976

National Provider Directory

National Provider Directory

Locations

9610 Two Notch Rd
Ste 4
Columbia, SC 29223
Phone (803) 788-0976

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1679799670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9610 TWO NOTCH RD",
            "address_2": "SUITE 4",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231601",
            "telephone_number": "803-788-0976",
            "fax_number": "803-788-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 TWO NOTCH RD",
            "address_2": "SUITE 4",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231601",
            "telephone_number": "803-788-0976",
            "fax_number": "803-788-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY B. DYAR, III, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "DYAR",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-788-0976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC2171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.