Fred L Bye, D.D.S, M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11128 Issued in MD

Practice address

13424 Pennsylvania Ave
Suite 201
Hagerstown, MD 21742-2658

Phone

(301) 739-6868

Fax

(301) 790-4990

NPI assigned

Aug 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Antietam Periodontics PA DRS. Fred & Rebecca Bye

  • Periodontics
  • Hagerstown, MD
  • NPI 1942212048
  NPD (past) Authorized official

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1013222389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13424 PENNSYLVANIA AVE",
            "address_2": "SUITE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422658",
            "telephone_number": "301-739-6868",
            "fax_number": "301-790-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13424 PENNSYLVANIA AVE",
            "address_2": "SUITE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422658",
            "telephone_number": "301-739-6868",
            "fax_number": "301-790-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYE",
        "first_name": "FRED",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "029607",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "11128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Butler-Lugo, CRNP
• Donna D Butler, MSW
• Harold E Butler, DDS MHA
• Tania Butler, LCSWC
• Tracey A. Butler, LCPC
• Catherine J Byers, LCPC
• Meghan Byers, DPT
• Stephanie Michelle Byers, PMHNP-BC
• Byrd Dental Health Center
• Byron K Byrd, DDS

• All providers in Hagerstown, MD
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.