Organization Active NPI

Timothy N. Byrd, D.M.D., P.C.

  • Dentist
  • Woodstock, GA
National Provider Identifier
1275728636
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
012070 Issued in GA
Legal business name
TIMOTHY N. BYRD, D.M.D., P.C.
Practice address
2035 Towne Lake Pkwy
Suite 130
Woodstock, GA 30189-5569
Phone
(770) 926-8200
Fax
(770) 926-8483
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Timothy N. Byrd, D.M.D.
Title
President
Phone
(770) 926-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 012070 GA Primary

Addresses

Primary practice location

2035 Towne Lake Pkwy
Suite 130
Woodstock, GA 30189-5569

Mailing address

2035 Towne Lake Pkwy
Suite 130
Woodstock, GA 30189-5569
Phone (770) 926-8200

National Provider Directory

National Provider Directory
Tax ID family
Byrd Dental Group at North Point PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2035 Towne Lake Pkwy
Ste 130
Woodstock, GA 30189
Phone (770) 926-8200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1275728636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 TOWNE LAKE PKWY",
            "address_2": "SUITE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895569",
            "telephone_number": "770-926-8200",
            "fax_number": "770-926-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 TOWNE LAKE PKWY",
            "address_2": "SUITE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895569",
            "telephone_number": "770-926-8200",
            "fax_number": "770-926-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY N. BYRD, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-926-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "012070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.