Meredith Gentry Lasater Byrd, DDS, MPH

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10107 Issued in NC

Practice address

2800 Wakefield Pines Dr Ste 110
Raleigh, NC 27614-8597

Phone

(919) 488-0170

NPI assigned

Apr 29, 2015

Last updated

Oct 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mbyrd497910@direct.medicine.duke.edu

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1205213295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WAKEFIELD PINES DR STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148597",
            "telephone_number": "919-488-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WAKEFIELD PINES DR STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148597",
            "telephone_number": "919-488-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "MEREDITH",
        "middle_name": "GENTRY LASATER",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10107",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "10107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205213295",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alethea Byrd
• Bari Eberhardt Byrd, MD
• Clarence Byrd Jr., RN, MSN
• Justice Alaiah Byrd
• Kia Weaver Byrd, LPC
• Sara M Byrd, COTA
• Byrdwise LLC
• Christine Janine Byrne, RD
• Holly Usher Byrne, NP
• Mary Elizabeth Byrnes

• Pediatric Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.