Active NPI
Byron Paul Sansom, D.D.S.
- Dentist
- Lapwai, ID
National Provider Identifier
1962732248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D-4392
- Practice address
- 111 Bever Grade Road
Lapwai, ID 83540-0367 - Phone
- (208) 843-2271
- Fax
- (208) 621-4995
- NPI assigned
- Jan 8, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-4392 | ID | Primary |
Addresses
Primary practice location
111 Bever Grade Road
Lapwai, ID 83540-0367
Mailing address
P.O. Box 367
Lapwai, ID 83540
Phone (208) 843-2271
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)
- Enrolled
Interoperability endpoints
- byrons@nimiipuuhealth.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1962732248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 367",
"city": "LAPWAI",
"state": "ID",
"postal_code": "83540",
"telephone_number": "208-843-2271",
"fax_number": "208-935-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BEVER GRADE ROAD",
"city": "LAPWAI",
"state": "ID",
"postal_code": "835400367",
"telephone_number": "208-843-2271",
"fax_number": "208-621-4995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANSOM",
"first_name": "BYRON",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-08",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D-4392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lapwai, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.