Individual provider Active NPI

Eric Byeon

  • Dentist
  • Milford, CT
National Provider Identifier
1518534239
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14054 Issued in CT
Practice address
55 Old Gate LN
Milford, CT 06460-3612
Phone
(203) 878-6699
NPI assigned
Jun 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14054 CT Primary
Dentist 122300000X 107586 CA

Addresses

Primary practice location

55 Old Gate LN
Milford, CT 06460-3612

Mailing address

11811 Venice Blvd Apt 113
Los Angeles, CA 90066-3928
Phone (323) 250-6388

Other practice location 1

714 Tiverton Ave
Los Angeles, CA 90095-8361
Phone (310) 825-9789

Other practice location 2

276 Oxford Rd Ste 2
Oxford, CT 06478-1956
Phone (475) 270-9086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107586CAMDDentist
14054CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensitive Care Cosmetic & Family Dentistry LLC PastSince Sep 23, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1518534239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 VENICE BLVD APT 113",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663928",
            "telephone_number": "323-250-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD GATE LN",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603612",
            "telephone_number": "203-878-6699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 Tiverton Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958361",
            "country_code": "US",
            "telephone_number": "310-825-9789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "276 Oxford Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "CT",
            "postal_code": "064781956",
            "country_code": "US",
            "telephone_number": "475-270-9086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYEON",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "14054",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.