Active NPI
Joyce M Byrd, DDS
- Dentist
- Jackson, MS
National Provider Identifier
1386701464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11780
- Practice address
- 128 Riverview Dr
Jackson, MS 39232-8908 - Phone
- (601) 957-3499
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11780 | MS | Primary |
Addresses
Primary practice location
128 Riverview Dr
Jackson, MS 39232-8908
Mailing address
128 Riverview Dr
Jackson, MS 39232-8908
Phone (601) 957-3499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160202002095 | MS | Order and Referring Only - Dentist | 3375847916 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11780 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386701464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 RIVERVIEW DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392328908",
"telephone_number": "601-957-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 RIVERVIEW DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392328908",
"telephone_number": "601-957-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "JOYCE",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "11780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.