Bo A Byun, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12318 Issued in MD

Practice address

6100 Westchester Park Dr
College Park, MD 20740-2852

Phone

(301) 474-8277

Fax

(301) 474-3330

NPI assigned

May 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Steven Rattner DDS, PA

  dba Dr Steven Rattner DDS PA and Associates

  • General Practice Dentistry
  • College Park, MD
  • NPI 1457584872
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518174028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 BRAXFIELD CT APT 8",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522016",
            "telephone_number": "301-474-8277",
            "fax_number": "301-474-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WESTCHESTER PARK DR",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402852",
            "telephone_number": "301-474-8277",
            "fax_number": "301-474-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYUN",
        "first_name": "BO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Brown
• Charles Edward Buckley, MD
• Carmen Orlena Bucksell
• Antjuan Mandwell Bunn
• John Jewell Bush, ATC
• Arielle Callahan
• Mary Campbell
• Campus Care Physical Therapy LLC
• Capital Area Primary Care LLC
• Carenest, Inc (CareNest Medical Supply)

• General Practice Dentistry in College Park, MD
• Providers in College Park, MD by specialty
• General Practice Dentistry in Maryland

• 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.

Verify at the official NPI Registry.