Jon Bryan Byrd, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9512 Issued in NC

Practice address

204 W Lexington Ave
High Point, NC 27262-2534

Phone

(336) 882-4412

NPI assigned

May 24, 2013

Sex

Male

Sole proprietor

Yes

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

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jon B Byrd DDS PLLC

  • Dental Clinic/Center
  • High Point, NC
  • NPI 1831731207
  NPD (past)

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1508203001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CLAYTON WAY",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273608633",
            "telephone_number": "336-501-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W LEXINGTON AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622534",
            "telephone_number": "336-882-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "JON",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie M Butler, CCS
• Joshua S Butler, MD
• Burhan Zahid Butt
• Ruxandra Buzoeanu, AGNP
• Shapel Lucille Bynum, LCMHC
• Nancy Byrd, O.T.
• C.Jeffery Braddy,DDS
• Yuri Milton Cabeza, MD
• Zachary Paul Cabon
• Lauren Cadwell

• Dentist in High Point, NC
• Providers in High Point, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.