Active NPI
Byron K Byrd DDS PA
- Dentist
- Hagerstown, MD
National Provider Identifier
1144322405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- BYRON K BYRD DDS PA
- Practice address
- 11045 Lincoln Ave
Hagerstown, MD 21740 - Phone
- (301) 582-3010
- Fax
- (301) 582-5365
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Byron K Byrd, DDS
- Title
- Owner Dentist
- Phone
- (301) 582-3010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
11045 Lincoln Ave
Hagerstown, MD 21740
Mailing address
11045 Lincoln Ave
Hagerstown, MD 21740
Phone (301) 582-3010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162649 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Byrd Dental Health Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Hagerstown, MD
- NPI 1659770303
Locations
11045 Lincoln Ave
Hagerstown, MD 21740
Phone (301) 582-3010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144322405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11045 LINCOLN AVE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "301-582-3010",
"fax_number": "301-582-5365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11045 LINCOLN AVE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "301-582-3010",
"fax_number": "301-582-5365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BYRON K BYRD DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BYRD",
"authorized_official_first_name": "BYRON",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "301-582-3010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162649",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.