Organization Active NPI

Laura Withers-Boyles, DDS, PLLC

  • Dentist
  • Fairmont, WV
National Provider Identifier
1790982072
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
WV3028 Issued in WV
Legal business name
LAURA WITHERS-BOYLES, DDS, PLLC
Practice address
301 Market St
Fairmont, WV 26554-4034
Phone
(304) 363-8530
Fax
(304) 363-8522
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Laura Elizabeth Withers-Boyles, D.D.S.
Title
Dentist
Phone
(304) 363-8530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X WV3028 WV Primary

Addresses

Primary practice location

301 Market St
Fairmont, WV 26554-4034

Mailing address

301 Market St
Fairmont, WV 26554-4034
Phone (304) 363-8530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790982072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MARKET ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544034",
            "telephone_number": "304-363-8530",
            "fax_number": "304-363-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MARKET ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544034",
            "telephone_number": "304-363-8530",
            "fax_number": "304-363-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA WITHERS-BOYLES, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITHERS-BOYLES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-363-8530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WV",
            "license": "WV3028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • 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.