Active NPI
Jay Henry Dyer, DDS
- Dentist
- Wheeling, WV
National Provider Identifier
1871686089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1888
- Practice address
- 2115 Chapline St
Su 208
Wheeling, WV 26003-3859 - Phone
- (304) 232-6956
- Fax
- (304) 234-8824
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1888 | WV | Primary |
Addresses
Primary practice location
2115 Chapline St
Su 208
Wheeling, WV 26003-3859
Mailing address
2115 Chapline St
Su 208
Wheeling, WV 26003-3859
Phone (304) 232-6956
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 |
|---|---|---|---|
| 1888 | WV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871686089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 CHAPLINE ST",
"address_2": "SU 208",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033859",
"telephone_number": "304-232-6956",
"fax_number": "304-234-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 CHAPLINE ST",
"address_2": "SU 208",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033859",
"telephone_number": "304-232-6956",
"fax_number": "304-234-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "JAY",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "1888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.