Byron Victor Bush, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3134 Issued in TN

Practice address

2908 Sidco Dr
Nashville, TN 37204-3759

Phone

(615) 401-1103

Fax

(615) 678-4381

NPI assigned

Oct 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Byron Victor Bush Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Promise Dental

  • General Practice Dentistry
  • Nashville, TN
  • NPI 1508292269
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1043200124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 SIDCO DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043759",
            "telephone_number": "615-401-1103",
            "fax_number": "615-678-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 SIDCO DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043759",
            "telephone_number": "615-401-1103",
            "fax_number": "615-678-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "BYRON",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "27-4086301",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BYRON",
            "last_name": "BUSH",
            "middle_name": "VICTOR",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brandon Greer Busbee, M.D.
• Steven Travis Busby, CRNP
• Danielle W Buse, BCBA
• Andrea Etta Bush, PHARMD
• Andrew Bush
• Gladys Ann Bush, M.D.
• Steven Brian Bush, M.D.
• Timothy William Bush, D.P.M
• Trisha Marie Bush, PA
• Holly G Bushart, NP

• General Practice Dentistry in Nashville, TN
• Providers in Nashville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.