Bryce Allen O'Donnell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

38721 Issued in TX

Practice address

1606 N Virginia St
Port Lavaca, TX 77979-2241

Phone

(361) 552-5800

NPI assigned

Jul 17, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Port Lavaca Dentistry PLLC

  • Dentist
  • Port Lavaca, TX
  • NPI 1881005296
  NPD
• Edna Dentistry, PLLC

  • General Practice Dentistry
  • Edna, TX
  • NPI 1013378736
  NPD (past)

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1154056927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792241",
            "telephone_number": "361-935-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792241",
            "telephone_number": "361-552-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "BRYCE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-17",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Nicholas Myers, CRNA
• New Vitality Clinic
• Rhonda Kay Nielsen, D.D.S.
• Tasha Norman, MSN, APRN, FNP-C
• Nra-Port Lavaca, Texas, LLC
• Shanna Suzanne Odonnell, FNP
• Frank M Parker IV, ATC, LAT
• Port Lavaca Anesthesia Group LLC
• Port Lavaca Clinic Associates PA
• Port Lavaca Dentistry PLLC

• All providers in Port Lavaca, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.