Organization Active NPI

Byron K Byrd DDS PA

  • Dentist
  • Hagerstown, MD
National Provider Identifier
1144322405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
162649MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Byrd Dental Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.