Organization Active NPI

Dr. Drew Byrnes Family and Cosmetic Dentisty

  • Dentist
  • Winter Park, FL
National Provider Identifier
1639526882
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 20171 Issued in FL
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

Updated by the provider on May 18, 2016

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
632MWOtherANTHEM BLUE CROSS BLUE SHIELS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.