Byron Charles Desbordes, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12002 Issued in MD

Practice address

3120 Lord Baltimore Dr
Suite 100
Baltimore, MD 21244-2662

Phone

(410) 277-0138

Fax

(410) 277-0139

NPI assigned

Jun 20, 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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• BK Faithful Enterprises Consulting LLC

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
  • NPI 1003306671
  NPD Authorized official
• Byron C Desbordes, DDS, PC

  • Customized Equipment (DME)
  • Baltimore, MD
  • NPI 1972987287
  NPD Authorized official

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063458099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 LORD BALTIMORE DR",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442662",
            "telephone_number": "410-277-0138",
            "fax_number": "410-277-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 LORD BALTIMORE DR",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442662",
            "telephone_number": "410-277-0138",
            "fax_number": "410-277-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESBORDES",
        "first_name": "BYRON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohan Pinakin Desai, MD
• Samit Prakash Desai, MD
• Erin Martha Desalvo, CRNP
• Dianne G. Desantis
• Harry Gerard Desantis, RPH
• Melinda L Desell, CRNP
• Patricia S. Desert, LCSW-C, CP
• Diana Deshields
• Fatoumata Deshields
• Roslyn Deshields

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.