Bryan W. Noyes, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D7329 Issued in OR

Practice address

2240 SW 2ND St
McMinnville, OR 97128-5583

Phone

(503) 472-4347

Fax

(503) 472-1029

NPI assigned

Aug 9, 2005

Reactivated

Apr 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1982605424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 SW 2ND ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285583",
            "telephone_number": "503-472-4347",
            "fax_number": "503-472-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 SW 2ND ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285583",
            "telephone_number": "503-472-4347",
            "fax_number": "503-472-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOYES",
        "first_name": "BRYAN",
        "middle_name": "W.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-09-12",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D7329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.