Byrnside Enterprises, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8371 Issued in TN

Legal business name

BYRNSIDE ENTERPRISES, INC.

Practice address

40 W Caldwell St
Suite 202
Mount Juliet, TN 37122-2910

Phone

(615) 758-7511

Fax

(615) 827-0202

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Byrnside, DMD

Title

Owner

Phone

(615) 758-7511

Specialties & licenses 1

Addresses

Other names 1

• Middle Tennessee Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1467720102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W CALDWELL ST",
            "address_2": "SUITE 202",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371222910",
            "telephone_number": "615-758-7511",
            "fax_number": "615-827-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CALDWELL ST",
            "address_2": "SUITE 202",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371222910",
            "telephone_number": "615-758-7511",
            "fax_number": "615-827-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRNSIDE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "BYRNSIDE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-758-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "8371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Tennessee Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie Byers, SLP-CCC
• Charlie Byers, B.A.
• Nicole Bynum
• Megan E Byram, MD
• Mary Anne Byrnes, LMFT
• Bryan D Byrnside, MD
• Wesley V Cain, DO
• Alicia Caldwell
• Ariel Caldwell
• Alexandria May Callham

• Pediatric Dentistry in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.