Active NPI
Stephen Michael Byrne, DDS
- General Practice Dentistry
- Fort Sill, OK
National Provider Identifier
1053322271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- OK3659
- Practice address
- Allen Dental Clinic
6037 Bessinger Rd
Fort Sill, OK 73503-0000 - Phone
- (580) 442-6106
- Fax
- (580) 442-7150
- NPI assigned
- Aug 11, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | OK3659 | OK | Primary |
Addresses
Primary practice location
Allen Dental Clinic
6037 Bessinger Rd
Fort Sill, OK 73503-0000
Mailing address
RR#1 Box #1060
Cushing, OK 74023-0000
Phone (918) 225-0104
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 |
|---|---|---|---|
| OK3659 | OK | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053322271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR#1 BOX #1060",
"city": "CUSHING",
"state": "OK",
"postal_code": "740230000",
"telephone_number": "918-225-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALLEN DENTAL CLINIC",
"address_2": "6037 BESSINGER RD",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735030000",
"telephone_number": "580-442-6106",
"fax_number": "580-442-7150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "STEPHEN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "OK3659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sill, OK
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.