Active NPI
Dr. Drew Byrnes Family and Cosmetic Dentisty
- Dentist
- Winter Park, FL
National Provider Identifier
1639526882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 20171
- Legal business name
- DR. DREW BYRNES FAMILY AND COSMETIC DENTISTY
- Practice address
- 199 E Welbourne Ave
Ste # 200
Winter Park, FL 32789-4365 - Phone
- (407) 645-4645
- NPI assigned
- May 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Drew Michael Byrnes, DMD
- Title
- Owner
- Phone
- (407) 645-4645
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 20171 | FL | Primary |
Addresses
Primary practice location
199 E Welbourne Ave
Ste # 200
Winter Park, FL 32789-4365
Mailing address
199 E Welbourne Ave
Ste # 200
Winter Park, FL 32789-4365
Phone (407) 645-4645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 632MW | Other | ANTHEM BLUE CROSS BLUE SHIELS |
National Provider Directory
National Provider DirectoryLocations
199 E Welbourne Ave
Ste 200
Winter Park, FL 32789
Phone (407) 645-4645
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Winter Park, FL
- NPI 1467886242
-
- Dentist
- Winter Park, FL
- NPI 1740293240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463529600000",
"number": "1639526882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 E WELBOURNE AVE",
"address_2": "STE # 200",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894365",
"telephone_number": "407-645-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 E WELBOURNE AVE",
"address_2": "STE # 200",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894365",
"telephone_number": "407-645-4645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. DREW BYRNES FAMILY AND COSMETIC DENTISTY",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-18",
"last_updated": "2016-05-18",
"status": "A",
"authorized_official_last_name": "BYRNES",
"authorized_official_first_name": "DREW",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-645-4645",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN 20171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELS",
"identifier": "632MW",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.