Active NPI
Jacob Brimhall Hyer, D.D.S.
- Dentist
- Raleigh, NC
National Provider Identifier
1811366107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11323
- Practice address
- 3101 Edwards Mill Rd Ste 103
Raleigh, NC 27612-5303 - Phone
- (919) 571-0222
- Fax
- (919) 571-0221
- NPI assigned
- Sep 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11323 | NC | Primary |
| Dentist | 122300000X | 65096 | CA |
Addresses
Primary practice location
3101 Edwards Mill Rd Ste 103
Raleigh, NC 27612-5303
Mailing address
3101 Edwards Mill Rd Ste 103
Raleigh, NC 27612-5303
Phone (919) 571-0222
Other practice location 1
7371 Six Forks Rd
Raleigh, NC 27615-6162
Phone (919) 364-9175
Other practice location 2
4203 Corners Pkwy Ste 100
Raleigh, NC 27617-4311
Phone (919) 504-4910
Other practice location 3
11480 Capital Blvd Ste 115
Wake Forest, NC 27587-4554
Phone (919) 874-5950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65096 | CA | MD | Dentist |
| 11323 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1811366107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 EDWARDS MILL RD STE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125303",
"telephone_number": "919-571-0222",
"fax_number": "919-571-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 EDWARDS MILL RD STE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125303",
"telephone_number": "919-571-0222",
"fax_number": "919-571-0221"
}
],
"practiceLocations": [
{
"address_1": "7371 Six Forks Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276156162",
"country_code": "US",
"telephone_number": "919-364-9175",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4203 Corners Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276174311",
"country_code": "US",
"telephone_number": "919-504-4910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11480 Capital Blvd Ste 115",
"address_purpose": "LOCATION",
"city": "Wake Forest",
"state": "NC",
"postal_code": "275874554",
"country_code": "US",
"telephone_number": "919-874-5950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYER",
"first_name": "JACOB",
"middle_name": "BRIMHALL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-17",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11323",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "65096",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.